GUTIERREZ, NICASIO SANCHEZ JR - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

GUTIERREZ, NICASIO SANCHEZ JR

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:	OKLAHOMA CITY INDIAN CLINIC 5208 WEST RENO OKLAHOMA CITY OK 73127 Address last updated on 7/4/2023
Phone #:	(405) 948-4900
Fax #:
County:	OKLAHOMA
License:	14904
Dated:	8/1/1984
Expires:	8/1/2025
License Type:	Medical Doctor
Specialty:	Psychiatry

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Of Santo Tomas, Fac Of Med And Surg, Manila, Philippines
Graduated:	3 / 1979
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 PSYCHIATRY AND NEUROLOGY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional CIGNA PPO HealthChoice
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
OKLAHOMA CITY INDIAN CLINIC 5208 WEST RENO OKLAHOMA CITY OK 73127 Phone #: (405) 948-4900 Fax #:	Mon: 8:00AM - 6:00PM Tue: 8:00AM - 6:00PM Wed: 8:00AM - 6:00PM Thu: 8:00AM - 6:00PM Fri: Sat: Sun:
Oklahoma City Indian Clinic 5208 West Reno Oklahoma City, OK 73127 Phone #: (405) 948-4900 x610 Fax #: (1) 200-	Mon: 8:00AM - 5:00PM Tue: Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM delete Thursday Fri: 8:00AM - 5:00PM Sat: Sun:

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