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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 3:48 AM CST
Next Update: Wednesday, December 25, 2024 12:00 PM CST

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MAULDIN, GRANT KEITH       
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: 14024 QUAIL POINTE DRIVE
OKLAHOMA CITY OK 73114

Address last updated on 6/2/2024
Phone #: (405) 203-3900
Fax #: (405) 691-5869
County: OKLAHOMA
License: 13115
Dated: 7/1/1981
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduated: 6 / 1980
CME Year: 2027
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: AMERICAN BOARD OF ANESTHESIOLOGY
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
PacifiCare of Oklahoma, Inc
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Northwest Surgical Hospital
Oklahoma City, OK
Physicians Hospital of Oklahoma
Oklahoma City, OK
St. Anthony North Ambulatory Surgery Center
Oklahoma City, OK
Locations: Hours: Languages:
14024 QUAIL POINTE DRIVE
OKLAHOMA CITY OK 73114

Phone #: (405) 203-3900
Fax #: (405) 691-5869
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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