MEDICARE: EDWARD EUGENE MCINTYRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471S1302X	Sonography Radiologic Technologist
2	2471V0105X	Vascular Sonography Radiologic Technologist

General Provider Information

NPI Number	:	1003064569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD EUGENE MCINTYRE

Provider Business Mailing Address
First Line	:	1646 SPRING CYPRESS RD
Second Line	:	110
City	:	SPRING
State	:	TX
Zip	:	77388-3617
Country	:	US
Telephone Number	:	832-368-0853
Fax Number	:

Provider Business Practice Location Address
First Line	:	1646 SPRING CYPRESS RD
Second Line	:	110
City	:	SPRING
State	:	TX
Zip	:	77388-3617
Country	:	US
Telephone Number	:	832-368-0853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	09/08/2008

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Directions to “ EDWARD EUGENE MCINTYRE ” Practice Location

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