Provider Demographics
NPI:1467732677
Name:MCGEE, TAKESHA L
Entity Type:Individual
Prefix:MS
First Name:TAKESHA
Middle Name:L
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:TAKESHA
Other - Middle Name:L
Other - Last Name:NEWSOME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1533 NE 42ND ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-6025
Mailing Address - Country:US
Mailing Address - Phone:405-243-8050
Mailing Address - Fax:405-522-8130
Practice Address - Street 1:1533 NE 42ND ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73111-6025
Practice Address - Country:US
Practice Address - Phone:405-243-8050
Practice Address - Fax:405-522-8130
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor