Thomas C Mabry, DC
Individual provider Active NPI Chiropractor · Yoakum, TX
NPI 1497700256 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1497700256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4016 (TX)
- Practice address
- 101 N Kenedy St
Yoakum, TX 77995-3601 - Phone
- (361) 293-2022
- Fax
- (361) 293-3821
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4016 | TX | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4016 | TX | Yes |
Addresses
Primary practice location
101 N Kenedy St
Yoakum, TX 77995-3601
Mailing address
101 N Kenedy St
Yoakum, TX 77995-3601
Phone (361) 293-2022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8H8840 | Other | TX | BLUE CROSS |
Other providers in Yoakum, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.