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Next Update: Thursday, December 19, 2024 2:50 AM CST
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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: |
PO BOX 1948
1221 NORTH MAY
GUYMON OK 73942-1948
Address last updated on 11/3/2022 |
| Phone #: |
(580) 338-1580 |
| Fax #: |
(580) 338-6660 |
| County: |
TEXAS |
| License: |
16773 |
| Dated: |
1/12/1989 |
| Expires: |
1/1/2026 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Cebu Doctors Coll Of Med, Cebu City, Cebu, Philippines |
| Graduated: |
4 /
1977 |
| CME Year: |
2028 |
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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 SURGERY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
SoonerCare PPO
United Healthcare Options PPO |
| Hospital Privileges: |
Memorial Hospital of Texas County
Guymon, OK
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