Individual
KATHLEEN R MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11914 ASTORIA BLVD, #360, HOUSTON, TX 77089-6064
(281) 484-3981
(281) 481-0182
Mailing address
14140 SOUTHWEST FWY STE 200, SUGAR LAND, TX 77478-3842
(281) 649-7000
(713) 484-6649
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
K0125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101528102
—
TX
01
—
TXB166198
MEDICARE - GROUP#
TX
Enumeration date
11/29/2005
Last updated
05/10/2022
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