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Next Update: Thursday, December 19, 2024 2:50 AM CST
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FREDERICK, GARY ANTHONY
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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.
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| Practice Address: |
1020 SOUTH 4TH STREET
CANADIAN TX 79014
Address last updated on 5/26/2020 |
| Phone #: |
(806) 323-6422 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
15799 |
| Dated: |
6/6/1986 |
| Expires: |
6/1/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
LSU Sch Of Med in New Orleans, New Orleans La 70112 |
| Graduated: |
5 /
1980 |
| CME Year: |
2022 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare Standard
United Healthcare Options PPO |
| Hospital Privileges: |
Newman Memorial Hospital
Shattuck, OK
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