Provider Demographics
NPI:1225120959
Name:MCDONALD, MEGHAN C (MD)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:C
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 270898
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-0898
Mailing Address - Country:US
Mailing Address - Phone:713-796-0003
Mailing Address - Fax:713-796-0005
Practice Address - Street 1:5615 KIRBY DRIVE, SUITE 440
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2444
Practice Address - Country:US
Practice Address - Phone:713-796-0003
Practice Address - Fax:713-796-0005
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH55142080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136278215Medicaid
TX085387101Medicaid
TX8L27075Medicare PIN
TXF48562Medicare UPIN