Phyllis Deshazo, REEGT, CNIM

NPI 1689077612 · on the registry since 2014

Practice

Address: 409 E California Ave
Oklahoma City, OK 73104
Phone: (405) 841-7826
Fax: (405) 841-7827
Organisation at this address: Rok Medical Management, Llc
Matrix Network Management Llc
Functional Assestment Centers Of Oklahoma
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 246ZE0600X
246ZE0600X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-10-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma