Mckintosh, Rebecca L

Mckintosh, Rebecca L is an individual health care provider with primary practice located at 9229 Lbj Fwy , Dallas TX 75243-3405. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mckintosh, Rebecca L can be contacted via phone (817) 589-4628.

Contact Information

Primary practice address
9229 Lbj Fwy Dallas TX 75243-3405
Phone: (817) 589-4628
Fax: (817) 447-1135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 577780 Texas

Profile Details

NPI number 1831185925
LBN Legal business name Mckintosh, Rebecca L
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 14th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831185925 NPPES
Texas MEDICAID 154880204
Texas MEDICAID 154880201
Texas Other 819N63
Texas MEDICAID 154880203
Texas MEDICAID 154880205
Texas MEDICAID 154880202

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