Search Results
Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
Return to Search Licensees page
|
HOLLEN, CHARLES WARREN
|
|
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: |
OKC VA HCS
921 NE 13TH ST.
ROOM 1A122
OKLAHOMA CITY OK 73104
Address last updated on 6/19/2024 |
| Phone #: |
(405) 456-3867 |
| Fax #: |
(405) 456-1575 |
| County: |
OKLAHOMA |
| License: |
15779 |
| Dated: |
7/1/1986 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Medical Oncology
Hematology (Internal Medicine)
Internal Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1985 |
| 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: |
|
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
|
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
MICHELLE TULL
|
APRN |
82050 |
|
|
Return to Search Licensees page
