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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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HARRIS, ROBERT CHARLES       
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: 3105 E. SKELLY DRIVE
SUITE 310
TULSA OK 74105-6371

Address last updated on 9/24/2020
Phone #: (918) 747-4631
Fax #: (918) 747-4302
County: TULSA
License: 15903
Dated: 10/2/1986
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1977
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
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Medicare Blue
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Physicians Direct Network
Railroad Medicare
Secure Horizons HMO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Meadowbrook Rehabilitation Hospital of Tulsa
Tulsa, OK
Locations: Hours: Languages:
3105 E. SKELLY DRIVE
SUITE 310
TULSA OK 74105-6371

Phone #: (918) 747-4631
Fax #: (918) 747-4302
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TYLER AGEE APRN 12149
HEATHER BRANDWEIN APRN 101558
MARIAH HARMON APRN 4825
JACK LETHERMON APRN 14986
TONI MADDOX APRN 15161
TYLER WOODS APRN 113279

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