Provider Demographics
NPI:1932188844
Name:CONBOY, THOMAS T (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:T
Last Name:CONBOY
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 1:7423 LAS COLINAS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7561
Mailing Address - Country:US
Mailing Address - Phone:972-401-9100
Mailing Address - Fax:972-401-9102
Practice Address - Street 1:7423 LAS COLINAS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7561
Practice Address - Country:US
Practice Address - Phone:972-401-9100
Practice Address - Fax:972-401-9102
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC5243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6280876 002OtherCIGNA PAL NUMBER
TX001525701Medicaid
TXDC5243OtherTEXAS LICENCE NUMBER
TX0846492OtherUNITED HEALTH CARE
TX8B2433OtherBCBS OF TX
TX6280876 002OtherCIGNA PAL NUMBER