Provider Demographics
NPI:1649513136
Name:CUNNINGHAM, WYNTREA LANEICE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:WYNTREA
Middle Name:LANEICE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7707 FANNIN ST STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1918
Mailing Address - Country:US
Mailing Address - Phone:346-571-1147
Mailing Address - Fax:832-831-2196
Practice Address - Street 1:7707 FANNIN ST STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1918
Practice Address - Country:US
Practice Address - Phone:346-571-1147
Practice Address - Fax:832-831-2196
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3303207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology