Provider Demographics
NPI:1700282605
Name:HAMBY, JOHN (DMIN)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:HAMBY
Suffix:
Gender:M
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-2227
Mailing Address - Country:US
Mailing Address - Phone:210-826-4218
Mailing Address - Fax:210-822-8384
Practice Address - Street 1:145 COUNTRY LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-2227
Practice Address - Country:US
Practice Address - Phone:210-826-4218
Practice Address - Fax:210-822-8384
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07990101YP2500X
TX1351106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist