Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Phyllis R Deshazo, REEGT, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1689077612

Mrs. Phyllis R Deshazo, REEGT, CNIM is an Electroneurodiagnostic Specialist/Technologist in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014

Practice location Address checks out

409 E California Ave
Oklahoma City, OK 73104-4224
Phone: (405) 841-7826
Fax: (405) 841-7827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X · Licence 466 (OK)

Record details

NPI number1689077612
Entity typeIndividual (Type 1)
GenderFemale
Credentials REEGT , CNIM
Sole proprietorNo
NPI enumeratedOctober 5, 2014
Last updated in NPPESOctober 5, 2014

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