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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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PHAN, DOANH T. KIM       
Practice Address: 3804 54TH
LUBBOCK TX 79413
Phone #: (806) 725-4212
Fax #: (806) 725-4391
County: NOT OKLAHOMA
License: 13559
Dated: 3/10/1982
Expires: 3/1/2006
License Type: Medical Doctor
Specialty: Neonatal-Perinatal Medicine
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: FAC MIXTE DE MED ET DE PHARM UNIV DE SAIGON, SAIGON, S VIETNAM
Graduated: 9 / 1969
CME Year: 2007
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3804 54TH
LUBBOCK TX 79413

Phone #: (806) 725-4212
Fax #: (806) 725-4391

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