Individual
WILLIAM E MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-2660
(817) 735-5441
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 735-2660
(817) 735-5441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F8566
TX
2084N0400X
Neurology Physician
Primary
F8566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110066216
RAILROAD MEDICARE
TX
05
—
118451703
—
TX
01
—
842564
BCBS
TX
Enumeration date
04/18/2006
Last updated
02/06/2009
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