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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 1:14 PM CST
Next Update: Wednesday, December 25, 2024 4:30 PM CST

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OLIVEIRA, WANDERLEY       
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: 10228 INWOOD ROAD
DALLAS TX 75229

Address last updated on 9/15/2021
Phone #: (972) 726-6700
Fax #:
County: NOT OKLAHOMA
License: 10724
Dated: 11/26/1975
Expires: 5/3/2022
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduated: / 1970
CME Year: 2024
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
Prudential Health Care Plan, Inc
Hospital Privileges: None listed
Locations: Hours: Languages:
10228 INWOOD ROAD
DALLAS TX 75229

Phone #: (972) 726-6700
Fax #:
Spanish

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