Provider Demographics
NPI:1013758796
Name:MCDONALD, HOPE ELISE (LM, CPM)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:ELISE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 BEAUREGARD DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-8410
Mailing Address - Country:US
Mailing Address - Phone:936-206-1261
Mailing Address - Fax:
Practice Address - Street 1:530 BEAUREGARD DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-8410
Practice Address - Country:US
Practice Address - Phone:936-206-1261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99557176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife