Provider Demographics
NPI:1013299296
Name:TEKE ENTERPRISES INC
Entity Type:Organization
Organization Name:TEKE ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HASTY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:580-366-3996
Mailing Address - Street 1:810 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-5210
Mailing Address - Country:US
Mailing Address - Phone:580-366-3036
Mailing Address - Fax:580-366-3036
Practice Address - Street 1:810 W 3RD ST
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-5210
Practice Address - Country:US
Practice Address - Phone:580-366-3996
Practice Address - Fax:580-225-5386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty