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TERRY, MICHAEL HAYDEN SR       
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: CHOCTAW FAMILY MEDICINE
15809 NORTHEAST 23RD
CHOCTAW OK 73020

Address last updated on 4/1/2002
Phone #: (405) 390-9600
Fax #:
County: OKLAHOMA
License: 11835
Dated: 7/1/1978
Expires: 8/21/2003
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1977
CME Year: 2005
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
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
CHOCTAW FAMILY MEDICINE
15809 NORTHEAST 23RD
CHOCTAW OK 73020

Phone #: (405) 390-9600
Fax #:
Spanish

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