Provider Demographics
NPI:1619714789
Name:CUNIGAN, NORMA JEAN (DC)
Entity type:Individual
Prefix:
First Name:NORMA
Middle Name:JEAN
Last Name:CUNIGAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 N KEGLEY RD
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-4067
Mailing Address - Country:US
Mailing Address - Phone:254-899-2225
Mailing Address - Fax:254-778-6491
Practice Address - Street 1:900 W CENTRAL TEXAS EXPY
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-2566
Practice Address - Country:US
Practice Address - Phone:254-634-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor