MEDICARE: WILLIAM PATRICK MCDONOUGH MD

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
1	207Q00000X	Family Medicine Physician	T7990	TX

General Provider Information

NPI Number	:	1124647573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM PATRICK MCDONOUGH MD

Provider Business Mailing Address
First Line	:	690 S LOOP 336 W STE 140
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3320
Country	:	US
Telephone Number	:	936-523-7041
Fax Number	:	936-523-7042

Provider Business Practice Location Address
First Line	:	690 S LOOP 336 W STE 140
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-3320
Country	:	US
Telephone Number	:	936-523-7041
Fax Number	:	936-523-7042

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	12/18/2025

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