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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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FUENTES, GWEN CANARIAS
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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: |
919 15TH STREET NW
ARDMORE OK 73401-1809
Address last updated on 5/1/2024 |
| Phone #: |
(580) 223-5693 |
| Fax #: |
(580) 223-8909 |
| County: |
CARTER |
| License: |
13171 |
| Dated: |
6/25/1981 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
PHILIPPINE MEDICAL SCHOOLS |
| Graduated: |
4 /
1975 |
| CME Year: |
2025 |
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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 PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
No |
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| HMO/PPO: |
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Champ VA
CIGNA PPO
CompMed
First Health
HealthChoice
Humana ChoiceCare
Multiplan PPO
Oklahoma Health Network PPO
One Health Plan PPO
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
Texas Medicaid
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO |
| Hospital Privileges: |
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
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| Locations: |
Hours: |
Languages: |
919 15TH STREET NW
ARDMORE OK 73401-1809
Phone #:
(580) 223-5693
Fax #:
(580) 223-8909 |
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:
Sun: |
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