PHYLLIS R. DESHAZO REEGT, CNIM – NPI #1689077612
Specialist/Technologist, Other

PHYLLIS DESHAZO is a technologist located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1689077612 to PHYLLIS DESHAZO on October 05, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYLLIS DESHAZO below.

NPI Profile for
PHYLLIS R. DESHAZO

NPI Number
1689077612
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
PHYLLIS R. DESHAZO
Credentials
REEGT, CNIM
Primary location
409 E CALIFORNIA AVE
OKLAHOMA CITY, OK 73104-4224
Phone: (405) 841-7826 Fax: (405) 841-7827
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)		 OK 466

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.