Provider Demographics
NPI:1649386681
Name:MCDONNELL, HILDA INES (MD)
Entity type:Individual
Prefix:DR
First Name:HILDA
Middle Name:INES
Last Name:MCDONNELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HILDA
Other - Middle Name:INES
Other - Last Name:GONZALEZ-MCDONNELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5600 S WILLOW DR
Mailing Address - Street 2:SUITE 117
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-4713
Mailing Address - Country:US
Mailing Address - Phone:713-723-5600
Mailing Address - Fax:713-723-5602
Practice Address - Street 1:5600 S WILLOW DR
Practice Address - Street 2:SUITE 117
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-4713
Practice Address - Country:US
Practice Address - Phone:713-723-5600
Practice Address - Fax:713-723-5602
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4148208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0099MPOtherBLUE CROSS/BLUE SHIELD
TX10018556OtherAMERIGROUP
TXN40981Medicare UPIN