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NPI Code Detail

MEDICARE: DR. AMY LYNN MCINTOSH M.D.

MEDICARE: DR. AMY LYNN MCINTOSH M.D.
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
1207X00000XOrthopaedic Surgery Physician44766MN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200044325OTHERMNMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225018120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY LYNN MCINTOSH M.D.
Provider Business Mailing Address
First Line : 2222 WELBORN ST
Second Line :
City : DALLAS
State : TX
Zip : 75219-3924
Country : US
Telephone Number : 214-559-5000
Fax Number : 214-443-7309
Provider Business Practice Location Address
First Line : 2222 WELBORN ST
Second Line :
City : DALLAS
State : TX
Zip : 75219-3924
Country : US
Telephone Number : 214-559-5000
Fax Number : 214-443-7309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 11/03/2015

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