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NPI Code Detail

MEDICARE: DR. HILDA INES MCDONNELL M.D.

MEDICARE:  DR. HILDA INES MCDONNELL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianK4148TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10099MPOTHERTXBLUE CROSS/BLUE SHIELD
210018556OTHERTXAMERIGROUP

General Provider Information

NPI Number : 1649386681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HILDA INES MCDONNELL M.D.
Provider Business Mailing Address
First Line : 5600 S WILLOW DR
Second Line : SUITE 117
City : HOUSTON
State : TX
Zip : 77035-4713
Country : US
Telephone Number : 713-723-5600
Fax Number : 713-723-5602
Provider Business Practice Location Address
First Line : 5600 S WILLOW DR
Second Line : SUITE 117
City : HOUSTON
State : TX
Zip : 77035-4713
Country : US
Telephone Number : 713-723-5600
Fax Number : 713-723-5602
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 07/16/2007

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Directions to “ DR. HILDA INES MCDONNELL M.D.” Practice Location

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