Provider Demographics
NPI:1942565460
Name:MCGEE, INGRID YVETTE (BHRS)
Entity Type:Individual
Prefix:
First Name:INGRID
Middle Name:YVETTE
Last Name:MCGEE
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 SW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-7856
Mailing Address - Country:US
Mailing Address - Phone:580-483-1619
Mailing Address - Fax:
Practice Address - Street 1:1016 SW 42ND ST
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-7856
Practice Address - Country:US
Practice Address - Phone:580-483-1619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor