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Oklahoma Board of Medical Licensure and Supervision

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BIRENBAUM, DENNIS HAROLD       
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: 10 MEDICAL PARKWAY
PROFESSIONAL PLAZA 3 SUITE 106
DALLAS TX 75234-7838

Address last updated on 1/24/2011
Phone #: (972) 247-5510
Fax #: (972) 247-2384
County: NOT OKLAHOMA
License: 12130
Dated: 2/22/1979
Expires: 2/1/2012
License Type: Medical Doctor
Specialty: Internal Medicine
Hematology (Internal Medicine)
Medical Oncology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduated: 5 / 1972
CME Year: 2013
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 Elect Choice
Aetna HMO
Aetna Managed Choice
Beechstreet PPO
Blue Cross Blue Shield-Blue Traditional
First Health
Great West Healthcare
Multiplan PPO
National Preferred Provider Network (NPPN)
One Health Plan PPO
PHCS (Private Healthcare Systems)
Private Healthcare Systems (PHCS)
Pronet
Secure Horizons HMO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
10 MEDICAL PARKWAY
PROFESSIONAL PLAZA 3 SUITE 106
DALLAS TX 75234-7838

Phone #: (972) 247-5510
Fax #: (972) 247-2384

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