Provider Demographics
NPI:1093901753
Name:MCINTYRE, ERYN MECHEL (PAC)
Entity Type:Individual
Prefix:
First Name:ERYN
Middle Name:MECHEL
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:PAC
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9701 BRODIE LN
Mailing Address - Street 2:SUITE A-106
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-6282
Mailing Address - Country:US
Mailing Address - Phone:512-280-3939
Mailing Address - Fax:512-280-3938
Practice Address - Street 1:9701 BRODIE LN
Practice Address - Street 2:SUITE A-106
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-6282
Practice Address - Country:US
Practice Address - Phone:512-280-3939
Practice Address - Fax:512-280-3938
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2017-08-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05371363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant