Individual
DR. ANDREW G MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 NE 10TH ST STE 4300, OKLAHOMA CITY, OK 73104-5418
(405) 271-3800
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35483
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391685001
—
TX
01
—
391685002
MEDICAID CSHCN
TX
Enumeration date
08/12/2012
Last updated
11/10/2021
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