Provider Demographics
NPI:1609006105
Name:MCGEE CHAPEL MISSIONARY BAPTIST CHURCH
Entity Type:Organization
Organization Name:MCGEE CHAPEL MISSIONARY BAPTIST CHURCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE MINISTER
Authorized Official - Prefix:
Authorized Official - First Name:REV. GOLDIE
Authorized Official - Middle Name:N
Authorized Official - Last Name:WESTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-493-1883
Mailing Address - Street 1:2025 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3303
Mailing Address - Country:US
Mailing Address - Phone:281-493-1883
Mailing Address - Fax:281-493-1262
Practice Address - Street 1:2025 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-3303
Practice Address - Country:US
Practice Address - Phone:281-493-1883
Practice Address - Fax:281-493-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization