Provider Demographics
NPI:1447422381
Name:LEE-MCGEE, TRACY MICHELLE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:MICHELLE
Last Name:LEE-MCGEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 N WILLIAM BARNETT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4061
Mailing Address - Country:US
Mailing Address - Phone:281-592-2224
Mailing Address - Fax:281-592-2225
Practice Address - Street 1:307 N WILLIAM BARNETT AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4061
Practice Address - Country:US
Practice Address - Phone:281-592-2224
Practice Address - Fax:281-592-2225
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05753363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant