Cunningham, Pamela Shenouda

Cunningham, Pamela Shenouda is an sole proprietor health care provider with primary practice located at 600 N Grant Ave , Odessa TX 79761-4503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Cunningham, Pamela Shenouda can be contacted via phone (432) 331-1234.

Contact Information

Primary practice address
600 N Grant Ave Odessa TX 79761-4503
Fax: (432) 331-1265
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M0387 Texas

Profile Details

NPI number 1417948209
LBN Legal business name Cunningham, Pamela Shenouda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated May 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417948209 NPPES
Texas MEDICAID 174108401

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