All Medicaid billing entities listing DESHAZO, KIRK (PRESIDENT/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oklahoma | 1 | $1K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BOULEVARD PHARMACY INC | BARTLESVILLE, OK | Durable Medical Equipment & Medical Supplies | $1K |