MARSHALL WADE CUNNINGHAM MD NPI 1770566861

NPI Information

  • NPI: 1770566861
  • Provider Name: MARSHALL WADE CUNNINGHAM, MD
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • Address: 1020 S STATE HIGHWAY 16
    FREDERICKSBURG, TX
    ZIP 78624
  • Phone: (830) 997-4353

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NPI Details

Marshall Wade Cunningham, MD is a plastic surgery in Fredericksburg, TX. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. Marshall Wade Cunningham, MD NPI is 1770566861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1020 S STATE HIGHWAY 16
FREDERICKSBURG, TX
ZIP 78624-471
Phone: (830) 997-4353
Fax: (830) 990-1599

The enumeration date for this NPI number is 11/22/2005 and was last updated on 3/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryL9037TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B61468MEDICARE UPINTEXAS
2611957MEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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