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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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HO, TONY HUNG QUAN       
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: 303 E. TAFT AVE
SUITE 3
SAPULPA OK 74066-4458

Address last updated on 2/1/2022
Phone #: (918) 224-2222
Fax #: (918) 224-2227
County: CREEK
License: 11654
Dated: 3/10/1978
Expires: 3/1/2022
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: UNIV DE LAUSANNE, FAC DE MED, LAUSANNE, SWITZERLAND
Graduated: 12 / 1975
CME Year: 2022
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Champ VA
CommunityCare HMO, Inc
Preferred Community Choice
Hospital Privileges: None listed
Locations: Hours: Languages:
303 E. TAFT AVE
SUITE 3
SAPULPA OK 74066-4458

Phone #: (918) 224-2222
Fax #: (918) 224-2227
Mon: 9:00AM - 2:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 2:00PM
Sat:
Sun:
4271 W. Albany
Broken Arrow, OK 74012

Phone #: (918) 994-4999
Fax #: (10) 201-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Vietnamese
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JACKLYN ROSE APRN 92995

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