Individual
DANIEL JOHN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6340 N BEACH ST, HALTOM CITY, TX 76137-2622
(817) 514-8668
Mailing address
6340 NORTH BEACH STREET, FORT WORTH, TX 76137
(817) 514-8668
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA02561
TX
Other
Enumeration date
08/10/2006
Last updated
11/17/2008
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