| Doctor Name: | DANIEL JOHN MCINTYRE |
| NPI Number: | 1609887595 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA02561 |
| Business Practice Address: | 6340 N Beach St Haltom City, TX - 761372622 |
| Business Phone Number: | 8175148668 |
| Business Fax Number: | |
| Mailing Address: | 6340 North Beach Street, FORT WORTH |
| State: | TX |
| Postal Code: | 76137 |
| Phone Number: | 8175148668 |
| Fax Number: | |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 11/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA02561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |