Provider Demographics
NPI:1467545871
Name:MCDONALD, ROBERT EMMETT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:EMMETT
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:R. EMMETT
Other - Middle Name:
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1740 W 27TH ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1440
Mailing Address - Country:US
Mailing Address - Phone:713-864-0533
Mailing Address - Fax:713-864-6658
Practice Address - Street 1:1740 W 27TH ST
Practice Address - Street 2:SUITE 315
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1440
Practice Address - Country:US
Practice Address - Phone:713-864-0533
Practice Address - Fax:713-864-6658
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1798208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX031601002Medicaid
TXP00236107OtherRR MEDICARE
TX8R0742OtherBCBS
TX8R0742OtherBCBS
TXP00236107OtherRR MEDICARE