Provider Demographics
NPI:1881467488
Name:OGE, MARSHA
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:
Last Name:OGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4923 WOODLAND MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2896
Mailing Address - Country:US
Mailing Address - Phone:954-330-5289
Mailing Address - Fax:
Practice Address - Street 1:4923 WOODLAND MEADOWS LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-2896
Practice Address - Country:US
Practice Address - Phone:954-330-5289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2160848208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation