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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
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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.
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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 |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico |
Graduated: |
6 /
1980 |
CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF ANESTHESIOLOGY |
New Patients: |
Yes |
Medicaid: |
No |
Medicare: |
Yes |
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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
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