Individual
AUSTIN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9453 N BEACH ST, FORT WORTH, TX 76244-9059
(817) 431-5100
Mailing address
830 WENDY DR, GRAND PRAIRIE, TX 75052-6544
(361) 354-1928
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15951
TX
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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