MEDICARE: SUSAN M OGDEN-MCKEE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	PA07911	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA07911	OTHER	TX	MEDICAL LICENSE

General Provider Information

NPI Number	:	1437412210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN M OGDEN-MCKEE PA

Provider Business Mailing Address
First Line	:	1001 W EAGLE DR
Second Line	:
City	:	DECATUR
State	:	TX
Zip	:	76234-3745
Country	:	US
Telephone Number	:	940-627-7440
Fax Number	:	940-627-7464

Provider Business Practice Location Address
First Line	:	4524 W BAILEY BOSWELL RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-4319
Country	:	US
Telephone Number	:	817-720-9685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2012
Last Update Date	:	03/26/2026

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Directions to “ SUSAN M OGDEN-MCKEE PA” Practice Location

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