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Liberty Mcintosh
Family Nurse Practitioner in Fort Worth, Texas
NPI 1851997449

Liberty Mcintosh is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Liberty Mcintosh practices in Fort Worth, TX. The NPI Number for Liberty Mcintosh is 1851997449 and holds a License No. 1010247 (Texas).

The current practice location address for Liberty Mcintosh is 710 W Leuda St, Fort Worth, TX and can be reached out via phone at 817-702-5958.

Location: 710 W Leuda St, Fort Worth, TX, 76104-3114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851997449
Provider Name
Liberty Mcintosh
Credential
Provider Entity Type
Individual
Gender
Female
Address
710 W Leuda St, Fort Worth, TX, 76104-3114
Phone Number
817-702-5958
Fax Number
Provider Enumeration Date
12/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
710 W Leuda St
City
Fort Worth
State
Texas
Zip
76104-3114
Phone Number
817-702-5958
Fax Number
person
Provider Business Mailing Address Details
Address
710 W Leuda St
City
Fort Worth
State
Texas
Zip
76104-3114
Phone Number
817-702-5958
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1010247 (Texas)
Definition
Definition to come...
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