Provider Demographics
NPI:1750407441
Name:ROBERT F YERRINGTON, MD PA
Entity type:Organization
Organization Name:ROBERT F YERRINGTON, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:YERRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-545-4060
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78297-1848
Mailing Address - Country:US
Mailing Address - Phone:210-545-4060
Mailing Address - Fax:
Practice Address - Street 1:8318 JONES MALTSBERGER RD
Practice Address - Street 2:STE. 118
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6500
Practice Address - Country:US
Practice Address - Phone:210-545-4060
Practice Address - Fax:210-824-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0064GSOtherBCBS OF TEXAS