Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

BASORA, MANUEL HERNANDEZ       
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: 4301 COLLEGE DR
VERNON TX 76384

Address last updated on 12/9/2009
Phone #: (940) 552-2620
Fax #: (940) 552-7470
County: NOT OKLAHOMA
License: 14081
Dated: 1/20/1983
Expires: 1/1/2017
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Univ De Barcelona, Fac De Med, Barcelona, Spain
Graduated: 11 / 1969
CME Year: 2019
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
United Healthcare Options PPO
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
4301 COLLEGE DR
VERNON TX 76384

Phone #: (940) 552-2620
Fax #: (940) 552-7470
Mon: 8:00AM - 5:30PM
Tue: 8:00AM - 5:30PM
Wed: 8:00AM - 5:30PM
Thu: 8:00AM - 5:30PM
Fri: 8:00AM - 5:30PM
Sat: 9:00AM - 11:30AM
Spanish

Return to Search Licensees page