# SHC MEDICAL PARTNERS OF OKLAHOMA, LLC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699515064
- **Authorized official:** ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
- **Authorized official phone:** (502) 394-2100

## Contact information

- **Practice address:** 7633 E 63RD PL STE 300, TULSA, OK 74133-1202
- **Practice address phone:** (502) 394-2100
- **Mailing address:** 805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2024
- **Last updated:** 06/03/2024