| Darrell T Herrington, DO | |
|
3605 Executive Dr, San Angelo, TX 76904-6884 | |
| (325) 949-9555 | |
| Not Available |
| Full Name | Darrell T Herrington |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3605 Executive Dr, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154388767 | NPI | - | NPPES |
| 135214804 | Medicaid | TX | |
| 83X709 | Other | TX | BLUE CROSS/BLUE SHIELD TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H4402 (Texas) | Primary |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Darrell T Herrington, DO 3605 Executive Dr, San Angelo, TX 76904-6884 Ph: (325) 949-9555 | Darrell T Herrington, DO 3605 Executive Dr, San Angelo, TX 76904-6884 Ph: (325) 949-9555 |
Irvin E. Zeitler Jr., DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Gary P Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Jack P Campbell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Seth Sturdivant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-6410 | |
Brett Jason Nile, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-747-2635 Fax: 325-747-2798 | |
Christopher C Peterson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-245-4059 Fax: 325-245-4059 |