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Next Update: Thursday, December 19, 2024 2:50 AM CST
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C DE BACA, PATRICK JOSEPH
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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: |
N/A LOCUM TENONS
KRUM TX 76249
Address last updated on 10/17/2014 |
| Phone #: |
(505) 414-8446 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
16006 |
| Dated: |
11/13/1986 |
| Expires: |
11/1/2017 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of NM Sch Of Med, Albuquerque Nm 87131 |
| Graduated: |
8 /
1980 |
| CME Year: |
2018 |
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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: |
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| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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