Healthcare Provider Details

I. General information

NPI: 1871596569
Provider Name (Legal Business Name): CHEROKEE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22122 E 63RD ST
BROKEN ARROW OK
74014-2007
US

IV. Provider business mailing address

22122 E 63RD ST
BROKEN ARROW OK
74014-2007
US

V. Phone/Fax

Practice location:
  • Phone: 918-808-5526
  • Fax: 918-355-6158
Mailing address:
  • Phone: 918-808-5526
  • Fax: 918-355-6158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License NumberOK 9725
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberOK 9725
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberOK 9725
License Number StateOK

VIII. Authorized Official

Name: DR. GARRETT REAN HUXALL
Title or Position: CEO
Credential: PHARMD, CGP,FASCP
Phone: 918-808-5526