Provider Demographics
NPI:1245351071
Name:YARBROUGH, ERIC A
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:YARBROUGH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 S COULTER ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2724
Mailing Address - Country:US
Mailing Address - Phone:806-353-0803
Mailing Address - Fax:806-353-1181
Practice Address - Street 1:3333 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2724
Practice Address - Country:US
Practice Address - Phone:806-353-0803
Practice Address - Fax:806-353-1181
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor