SALLY MCINTYRE MICHAUD

FORT WORTH, TX
NPI1043712961
Former NameSALLY BROOKS MCINTYRE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: TX  776106)
Enumeration Date2018-03-07
Last Update Date2019-06-04
Business Address
Mrs. SALLY MCINTYRE MICHAUD NNP-BC
1500 SOUTH MAIN STREET
FORT WORTH, TX 76104
Phone number: 817-702-1166
Mailing Address
Mrs. SALLY MCINTYRE MICHAUD NNP-BC
PO BOX 732973
DALLAS, TX 75373-2973
Phone number: 817-702-2450