Provider Demographics
NPI:1528198504
Name:MAGER, ANDREW HENSLEE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HENSLEE
Last Name:MAGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 W 45TH AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-5078
Mailing Address - Country:US
Mailing Address - Phone:806-677-0994
Mailing Address - Fax:806-677-0986
Practice Address - Street 1:6910 W 45TH AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-5078
Practice Address - Country:US
Practice Address - Phone:806-677-0994
Practice Address - Fax:806-677-0986
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4479111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor