# TRIAD COMPLETE HEALTHCARE A07

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TRIAD COMPLETE HEALTHCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063118529
- **Authorized official:** NIKI SYKORA (OWNER)
- **Authorized official phone:** (918) 691-8391

## Contact information

- **Practice address:** 3013 AZALEA PARK DR, MUSKOGEE, OK 74401-2285
- **Practice address phone:** (918) 691-8391
- **Mailing address:** 3013 AZALEA PARK DR, MUSKOGEE, OK 74401-2285
- **Mailing address phone:** (918) 691-8391

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2023
- **Last updated:** 02/07/2023