LIBERTY MCINTOSH

FORT WORTH, TX
NPI1851997449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1010247)
Enumeration Date2020-12-08
Last Update Date2022-03-01
Business Address
LIBERTY MCINTOSH
710 W LEUDA ST
FORT WORTH, TX 76104-3114
Phone number: 817-702-5958
Mailing Address
LIBERTY MCINTOSH
710 W LEUDA ST
FORT WORTH, TX 76104-3114
Phone number:
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