Healthcare Provider Details

I. General information

NPI: 1124647573
Provider Name (Legal Business Name): WILLIAM PATRICK MCDONOUGH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 S LOOP 336 W STE 140
CONROE TX
77304-3320
US

IV. Provider business mailing address

690 S LOOP 336 W STE 140
CONROE TX
77304-3320
US

V. Phone/Fax

Practice location:
  • Phone: 936-523-7041
  • Fax: 936-523-7042
Mailing address:
  • Phone: 936-523-7041
  • Fax: 936-523-7042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberT7990
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: