GRAY, JACK KENNETH 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

GRAY, JACK KENNETH 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:	FAMILY WELLNESS ASSOCIATES 2760 WASHINGTON DRIVE STE. 110 NORMAN OK 73069 Address last updated on 9/14/2023
Phone #:	(405) 360-2827
Fax #:	(405) 283-1124
County:	CLEVELAND
License:	15966
Dated:	9/6/1986
Expires:	9/1/2025
License Type:	Medical Doctor
Specialty:	Psychiatry

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Ross Univ, Sch of Med, Roseau, Dominica
Graduated:	6 / 1984
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:	Yes
Medicare:	No

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional BlueChoice PPO BlueLincs HMO Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO Dept of Rehabilitation Services (DRS) Global Health HMO Great West Healthcare HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA National Preferred Provider Network (NPPN) Oklahoma Health Network PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PPO Oklahoma Prudential Health Care Plan, Inc Secure Horizons HMO SoonerCare HMO SoonerCare PPO Texas Medicaid Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS USA Managed Care
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
FAMILY WELLNESS ASSOCIATES 2760 WASHINGTON DRIVE STE. 110 NORMAN OK 73069 Phone #: (405) 360-2827 Fax #: (405) 283-1124	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 1:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
NENETH OAKLEY PHUNG	PA	1418
HEATHER ROGERS	APRN	2151
PAULA ROTHER	APRN	77254
TERESA SHERMAN	APRN	33819
SUSAN THOMPSON	APRN	30789

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