Individual
DR. DIANE L MCINTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5807 63RD ST, SUITE 200, LUBBOCK, TX 79424-2740
(806) 771-7286
(806) 771-7289
Mailing address
5807 63RD ST, SUITE 200, LUBBOCK, TX 79424-2740
(806) 771-7286
(806) 771-7289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J8668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106033707
—
TX
Enumeration date
07/26/2006
Last updated
07/19/2012
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