Provider Demographics
NPI:1205997657
Name:HENBY, ADAM J (DC)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:HENBY
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:PO BOX 700688
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78270-0688
Mailing Address - Country:US
Mailing Address - Phone:210-477-7654
Mailing Address - Fax:210-468-0682
Practice Address - Street 1:600 S TYLER ST STE 2100
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-2304
Practice Address - Country:US
Practice Address - Phone:800-404-6050
Practice Address - Fax:866-313-3397
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007569111N00000X
VA0104557449111N00000X
TX14199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0104557449OtherVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
TX14199OtherTEXAS BOARD OF CHIROPRACTIC
NY837208OtherEMPIRE
NY117620 ANOtherPREFERRED CARE
NY7111598OtherAETNA
NYNY07569OtherLANDMARK
NY007569-9OtherWORKERS COMPENSATION
NY98L1522OtherMVP
NYNY07569OtherLANDMARK