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Individual

DR. HILDA INES MCDONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K4148
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0099MP
BLUE CROSS/BLUE SHIELD
TX
01
10018556
AMERIGROUP
TX
Enumeration date
08/22/2006
Last updated
07/16/2007
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