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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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CABALLERO, RENATO MANUEL       
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: 3201 W GORE #301
LAWTON OK 73505-6350

Address last updated on 8/4/2024
Phone #: (580) 248-8225
Fax #: (580) 248-8919
County: COMANCHE
License: 16668
Dated: 9/15/1988
Expires: 9/1/2025
Temp. Lic. Issued: 8/15/1988
Temp. Lic. Expires: 10/20/1988
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ C.E.T.E.C., Sch Of Med, Santo Domingo, Dom Rep (Closed 1984)
Graduated: 12 / 1982
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Locations: Hours: Languages:
3201 W GORE #301
LAWTON OK 73505-6350

Phone #: (580) 248-8225
Fax #: (580) 248-8919
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat: CLOSED
Sun: CLOSED
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANGELIA WHITEMAN APRN 109613

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