Provider Demographics
NPI:1902803992
Name:CUNNINGHAM, JAMES BRYCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRYCE
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7700 CAT HOLLOW DR
Mailing Address - Street 2:STE 101
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5797
Mailing Address - Country:US
Mailing Address - Phone:512-255-8888
Mailing Address - Fax:512-248-9451
Practice Address - Street 1:7700 CAT HOLLOW DR
Practice Address - Street 2:STE 101
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5797
Practice Address - Country:US
Practice Address - Phone:512-255-8888
Practice Address - Fax:512-248-9451
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX609550Medicare PIN
TXU77035Medicare UPIN