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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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LEDDY, MICHAEL DENNIS       
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: 4120 ALPINE DRIVE
PARIS TX 75462-6673

Address last updated on 5/11/2017
Phone #: (903) 785-4456
Fax #: (903) 785-4294
County: NOT OKLAHOMA
License: 13112
Dated: 7/1/1981
Expires: 7/1/2018
License Type: Medical Doctor
Specialty: Internal Medicine
Adolescent Medicine (Internal Medicine)
Undersea & Hyperbaric Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 1980
CME Year: 2018
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: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
4120 ALPINE DRIVE
PARIS TX 75462-6673

Phone #: (903) 785-4456
Fax #: (903) 785-4294
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: CLOSED
Sun: CLOSED
Spanish

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