Individual
MICHAEL MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2014 WIGEON ST, GRANBURY, TX 76049-5569
(817) 707-7733
Mailing address
2014 WIGEON ST, GRANBURY, TX 76049-5569
(817) 707-7733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
703179
TX
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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