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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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TATE, MELITA LOUISE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: GRASSROOTS HEALTHCARE
10100 S MINGO RD
TULSA OK 74133

Address last updated on 2/14/2024
Phone #: (918) 878-7733
Fax #: (918) 878-7736
County: TULSA
License: 21826
Dated: 10/9/2000
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1999
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
4/11/2018 Voluntary Submittal to Jurisdiction
12/13/2017 Complaint Citation
Board Filings and/or Orders:
04/11/2018
12/13/2017
12/13/2017
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF PEDIATRICS
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
GRASSROOTS HEALTHCARE
10100 S MINGO RD
TULSA OK 74133

Phone #: (918) 878-7733
Fax #: (918) 878-7736
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
GLORIA MEWBOURNE APRN 17162
KYNDOL RAY APRN 87165
BROOKE SCHAIVE APRN 959

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