Healthcare Provider Details

I. General information

NPI: 1932645702
Provider Name (Legal Business Name): MEGAN S DIDONATO ATC LAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN S ONEY ATC LAT

II. Dates (important events)

Enumeration Date: 01/17/2017
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6767 LAKE WOODLANDS DR SUITE F
THE WOODLANDS TX
77382-2566
US

IV. Provider business mailing address

9180 PINECROFT DR STE 390
SHENANDOAH TX
77380-3899
US

V. Phone/Fax

Practice location:
  • Phone: 281-364-1122
  • Fax: 281-210-2446
Mailing address:
  • Phone: 281-939-5655
  • Fax: 281-399-4496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAT4357
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: