Healthcare Provider Details

I. General information

NPI: 1427966357
Provider Name (Legal Business Name): REBECCA MCDONALD SAM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6410 FANNIN ST STE 370
HOUSTON TX
77030-3004
US

IV. Provider business mailing address

5568 ASPEN ST
BELLAIRE TX
77401-4829
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-5746
  • Fax: 713-500-0702
Mailing address:
  • Phone: 713-829-5901
  • Fax: 713-500-0702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number742035
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: