| CH Mssp Services Ok LLC | |
|
4300 W Houston St Broken Arrow OK 74012-4519 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | CH Mssp Services Ok LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4300 W Houston St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Nicole Howard (SR. VP ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CH Mssp Services Ok LLC 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 408-0797 | CH Mssp Services Ok LLC 4300 W Houston St Broken Arrow OK 74012-4519 Ph: (337) 408-0797 |
| NPI Number | 1386537256 |
|---|---|
| Provider Enumeration Date | 05/30/2025 |
| Last Update Date | 05/22/2026 |
| Certification Date | 05/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386537256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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