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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, October 19, 2024 1:24 PM CDT
Next Update: Saturday, October 19, 2024 4:30 PM CDT

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FUENTES, GWEN CANARIAS       
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
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 4 / 1975
CME Year: 2025
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
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
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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