Organization
CH MSSP SERVICES OK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (SR. VP ADMINISTRATIVE SERVICES)
(337) 991-9276
Entity
Organization
Contact information
Practice address
4300 W HOUSTON ST, BROKEN ARROW, OK 74012-4519
(337) 991-9276
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
(337) 991-9276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
06/04/2025
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