# SOUTHCREST EMERGENCY PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205816048
- **Authorized official:** STAN STACY D.O. (PRESIDENT)
- **Authorized official phone:** (918) 294-4000

## Contact information

- **Practice address:** 8801 S 101ST EAST AVE, TULSA, OK 74133-5716
- **Practice address phone:** (918) 294-4000
- **Mailing address:** PO BOX 5358, NORMAN, OK 73070-5358
- **Mailing address phone:** (866) 321-8433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | OK | Yes |

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 08/22/2020