Provider Demographics
NPI:1962550186
Name:MCINTYRE, KATHRYN (MD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 BEE CAVE RD
Mailing Address - Street 2:BOX N
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5584
Mailing Address - Country:US
Mailing Address - Phone:512-329-8001
Mailing Address - Fax:
Practice Address - Street 1:2901 BEE CAVE RD
Practice Address - Street 2:BOX N
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5584
Practice Address - Country:US
Practice Address - Phone:512-329-8001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF69312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry