Provider Demographics
NPI:1184935199
Name:YARBROUGH, LINDSAY A (DO)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 WHEATFIELD DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182-4639
Mailing Address - Country:US
Mailing Address - Phone:972-285-0221
Mailing Address - Fax:972-285-0223
Practice Address - Street 1:341 WHEATFIELD DR STE 100
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:TX
Practice Address - Zip Code:75182-4639
Practice Address - Country:US
Practice Address - Phone:972-285-0221
Practice Address - Fax:972-285-0223
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018749207Q00000X
ALDO 1454207Q00000X
TXU2676207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1033032840001Medicaid
AL51155101OtherBC
AL51155102OtherBC
PA1033032840001Medicaid