Provider Demographics
NPI:1619059342
Name:YERRINGTON, ROBERT F (MD,)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:YERRINGTON
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 1:366 W SUNSET RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1774
Mailing Address - Country:US
Mailing Address - Phone:210-545-4060
Mailing Address - Fax:210-775-0086
Practice Address - Street 1:366 W SUNSET RD BLDG 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1774
Practice Address - Country:US
Practice Address - Phone:210-545-4060
Practice Address - Fax:210-775-0086
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136739310Medicaid
TX8B7030OtherBCBS
TX136739310Medicaid