MEDICARE: MCGEE CHAPEL MISSIONARY BAPTIST CHURCH

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	302F00000X	Exclusive Provider Organization		TX

General Provider Information

NPI Number	:	1609006105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCGEE CHAPEL MISSIONARY BAPTIST CHURCH

Provider Business Mailing Address
First Line	:	2025 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3303
Country	:	US
Telephone Number	:	281-493-1883
Fax Number	:	281-493-1262

Provider Business Practice Location Address
First Line	:	2025 HIGHWAY 6 S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3303
Country	:	US
Telephone Number	:	281-493-1883
Fax Number	:	281-493-1262

Authorized Official
Title or Position	:	ASSOCIATE MINISTER
Name	:	REV. GOLDIE N. WESTLEY
Credential	:
Telephone Number	:	281-493-1883

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	07/17/2009

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Directions to “MCGEE CHAPEL MISSIONARY BAPTIST CHURCH ” Practice Location

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