Individual
DARYL MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 COLEMAN RD, WHARTON, TX 77488-9751
(979) 618-1962
Mailing address
1155 DAIRY ASHFORD RD STE 560, HOUSTON, TX 77079-3035
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
211323
TX
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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