Provider Demographics
NPI:1801856422
Name:YANKOV, YANKO ATHANASSOV (MD)
Entity Type:Individual
Prefix:DR
First Name:YANKO
Middle Name:ATHANASSOV
Last Name:YANKOV
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:PO BOX 592827
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-0191
Mailing Address - Country:US
Mailing Address - Phone:830-980-1761
Mailing Address - Fax:830-980-1746
Practice Address - Street 1:2395 BULVERDE RD STE 101B
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-4572
Practice Address - Country:US
Practice Address - Phone:830-980-1761
Practice Address - Fax:830-980-1746
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL27642084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8G4800OtherBC/BS OF TX
TX158401301Medicaid
TX8099B6Medicare PIN
TX158401301Medicaid