SOUTHCREST EMERGENCY PHYSICIANS PC NPI 1205816048

NPI Information

SOUTHCREST EMERGENCY PHYSICIANS PC is an emergency medical services emergency medicine in Tulsa, OK. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. SOUTHCREST EMERGENCY PHYSICIANS PC NPI is 1205816048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8801 S 101ST EAST AVE
TULSA, OK
ZIP 74133-716
Phone: (918) 294-4000

The provider's authorized official is Stan Stacy .
The authorized official title is President and has the following contact phone number (918) 294-4000.

The CLIA number assigned to this NPI record is 37D1035190 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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