Provider Demographics
NPI:1154595270
Name:MCDONALD, RYAN O'NEILL (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:O'NEILL
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 2510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-704-6775
Mailing Address - Fax:713-704-1796
Practice Address - Street 1:9303 PINECROFT DR
Practice Address - Street 2:SUITE 270
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3181
Practice Address - Country:US
Practice Address - Phone:281-465-4050
Practice Address - Fax:281-465-4105
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM94972084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX153449706OtherGRP MDCD TPI MONTGOMERY CO.
TX197864502OtherINDIV MDCD TPI
TX8DL862OtherBCBSTX PROV RECORD #
TX8DL862OtherBCBSTX PROVIDER RECORD NUMBER
TX00659NOtherGRP MDCR PTAN MONTGOMERY CO.
TX0035TDOtherBCBSTX MNA GRP RECORD NMBR
TX8DL862OtherBCBSTX PROV RECORD #