| John T Conboy Inc | |
|
228 Lanier Ranch Rd Driftwood TX 78619-9772 | |
| (512) 944-9153 | |
| Not Available |
| Full Name | John T Conboy Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 228 Lanier Ranch Rd, Driftwood, Texas |
| Authorized Official Name and Position | John T. Conboy (PRESIDENT) |
| Authorized Official Contact | 5129449153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Conboy Inc Po Box 841664 Dallas TX 75284-1664 Ph: (512) 944-9153 | John T Conboy Inc 228 Lanier Ranch Rd Driftwood TX 78619-9772 Ph: (512) 944-9153 |
| NPI Number | 1134339179 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134339179 | NPI | - | NPPES |
| 0054NF | Other | TX | BCBS GROUP # |
| 181429502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 41316 (Texas) | Primary |
Craig Franke, Md & Associates, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Sad Willow Pass, Driftwood, TX 78619 Phone: 737-271-3008 Fax: 737-312-2552 |