# DEACONESS PHYSICIAN SERVICES LLC

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

## Provider details

- **NPI number:** 1427017862
- **Authorized official:** MR. JAMES P WRIGHT (SR. DIRECTOR)
- **Authorized official phone:** (615) 465-7587

## Contact information

- **Practice address:** 11101 HEFNER POINTE DR, OKLAHOMA CITY, OK 73120-5054
- **Practice address phone:** (405) 751-5555
- **Practice address fax:** (405) 751-0726
- **Mailing address:** 4000 MERIDICAN BLVD, FRANKLIN, TN 37067-6325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | — |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 08/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200058320B | — | OK |