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COLLINS, ROGER NEILL       
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: 605 HOLDERREITH DRIVE
TOMBALL TX 77375-6445

Address last updated on 4/13/2007
Phone #: (281) 401-7695
Fax #: (281) 401-7883
County: NOT OKLAHOMA
License: 12317
Dated: 7/2/1979
Expires: 7/1/2006
License Type: Medical Doctor
Specialty: Emergency Medicine
Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1978
CME Year: 2006
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: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
605 HOLDERREITH DRIVE
TOMBALL TX 77375-6445

Phone #: (281) 401-7695
Fax #: (281) 401-7883
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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