Provider Demographics
NPI:1497983464
Name:YEPES HURTADO, ANDRES FELIPE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRES
Middle Name:FELIPE
Last Name:YEPES HURTADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-9410
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:3621 22ND ST STE 400
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1302
Practice Address - Country:US
Practice Address - Phone:806-791-8484
Practice Address - Fax:806-791-8498
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0034030390200000X
TXQ4551207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX392067100OtherFIRSTCARE
TX8FG461OtherBCBS
NM84284226Medicaid
TX8FG461OtherBCBS