| Cordell Cunningham, MD | |
|
500 W 4th St, Odessa, TX 79761-5001 | |
| (432) 640-6000 | |
| Not Available |
| Full Name | Cordell Cunningham |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 500 W 4th St, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144684168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | S0863 (Texas) | Primary |
| Entity Name | Basin Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831337724 PECOS PAC ID: 0244397826 Enrollment ID: O20090326000107 |
| Entity Name | Mch Professional Care Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447547773 PECOS PAC ID: 1557535127 Enrollment ID: O20111116000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Cordell Cunningham, MD 1034 Gibbs Xing, Coppell, TX 75019-6358 Ph: () - | Cordell Cunningham, MD 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-6000 |
Dr. Steven Wiese, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4236 E Everglade Ave, Odessa, TX 79762 Phone: 979-575-8119 | |
Jeffery M Pinnow, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 | |
Derrick Randdolf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 Fax: 432-703-5238 | |
Kyungho Scott Choi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 | |
Farshid D Kayfan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1190 Fax: 432-640-3489 | |
Navneet Kaur, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5238 |