Individual
MATTHEW MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6431 FANNIN ST, SUITE JJL 431, HOUSTON, TX 77030-1501
(713) 500-7878
Mailing address
1635 NORTH LOOP W, HOUSTON, TX 77008-1532
(713) 867-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R8413
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10057372
TX
Other
Enumeration date
05/05/2016
Last updated
09/18/2024
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