Organization
CH MSSP SERVICES OK LLC
Active
Organization
CH MSSP SERVICES OK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (SR. VP ADMINISTRATIVE SERVICES)
(337) 408-0797
Entity
Organization
Contact information
Practice address
4300 W HOUSTON ST, BROKEN ARROW, OK 74012-4519
(337) 408-0797
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
(337) 408-0797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/22/2026
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