Individual
MARTIN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 PINE ST, TEXARKANA, TX 75501-5100
(903) 798-7365
Mailing address
1000 PINE ST, TEXARKANA, TX 75501-5100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
675460
TX
Other
Enumeration date
05/02/2006
Last updated
01/21/2008
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