Doctor Name: | EDWARD EUGENE MCINTYRE |
NPI Number: | 1003064569 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1646 Spring Cypress Rd 110 Spring, TX - 773883617 |
Business Phone Number: | 8323680853 |
Business Fax Number: | |
Mailing Address: | 1646 Spring Cypress Rd, 110 SPRING |
State: | TX |
Postal Code: | 773883617 |
Phone Number: | 8323680853 |
Fax Number: | |
NPI Enumeration Date: | 09/08/2008 |
NPI Last Update Date: | 09/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471V0105X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Vascular Sonography |
Taxonomy Definition: |