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Oklahoma Board of Medical Licensure and Supervision

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

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TAYLOR, CHARLES WADE       
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: 12697 E 51ST STREET SOUTH
TULSA OK 74146

Address last updated on 6/12/2023
Phone #: (918) 505-3200
Fax #: (918) 505-3225
County: TULSA
License: 14470
Dated: 8/22/1983
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Medical Oncology
Hematology (Internal Medicine)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1982
CME Year: 2027
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
OSU Medical Center (formerly Tulsa Regional Medical Center)
Tulsa, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
12697 E 51ST STREET SOUTH
TULSA OK 74146

Phone #: (918) 505-3200
Fax #: (918) 505-3225
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:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LIBBE MARQUEZ APRN 4079
ALICIA SCHULTZ APRN 110766

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