MEDICARE: THOMAS T CONBOY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC5243	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6280876 002	OTHER	TX	CIGNA PAL NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	DC5243	OTHER	TX	TEXAS LICENCE NUMBER
4	0846492	OTHER	TX	UNITED HEALTH CARE
5	8B2433	OTHER	TX	BCBS OF TX

General Provider Information

NPI Number	:	1932188844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS T CONBOY D.C.

Provider Business Mailing Address
First Line	:	7423 LAS COLINAS BLVD
Second Line	:	SUITE 100
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	972-401-9100
Fax Number	:	972-401-9102

Provider Business Practice Location Address
First Line	:	7423 LAS COLINAS BLVD
Second Line	:	SUITE 100
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	972-401-9100
Fax Number	:	972-401-9102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	10/24/2022

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Directions to “ THOMAS T CONBOY D.C.” Practice Location

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