Individual
KELLY NEAL MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4100
Mailing address
9354 MARBELLA DR, FORT WORTH, TX 76126-1930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
V7958
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
V7958
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
05/08/2025
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