NPI 1285825976

Jack B. Howard MD LLC

Organisation Exclusive Provider Organization Ada, OK

Practice location

Address: 1201 Arlington St STE F, Ada, OK 74820-4072
Phone: (580) 436-2626
Fax: (580) 436-3244

Authorised official

Name: Jack B Howard
Title: Owner
Phone: (580) 436-2626

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 8314 (OK)

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1285825976
Entity type: Organization
NPI issued: 7 Aug 2007
Record last updated: 7 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.