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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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BROWN, JACK HOWARD       
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: 200 N MAIN ST SUITE D
SAND SPRINGS OK 74063-1147

Address last updated on 5/23/2024
Phone #: (918) 246-3456
Fax #: (918) 246-3457
County: TULSA
License: 16933
Dated: 7/1/1989
Expires: 7/1/2025
Training Issued: 5/23/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Family Medicine
Geriatric Medicine (Family Practice)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: ORAL ROBERTS UNIV SCH OF MED, TULSA OK 74137
Graduated: 5 / 1988
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: Yes
   
HMO/PPO: Aetna Elect 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
CIGNA PPO
Coventry Health Care National Network
First Health
Global Health HMO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
National Preferred Provider Network (NPPN)
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO Oklahoma
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
Tricare for Life
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
200 N MAIN ST SUITE D
SAND SPRINGS OK 74063-1147

Phone #: (918) 246-3456
Fax #: (918) 246-3457
Mon:
Tue:
Wed:
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:
7718 E 91ST ST. STE 100
Tulsa, OK 74133

Phone #: (918) 692-3182
Fax #: (1) 202-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: BY APPOINTMENT
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRITTIANY COYER APRN 6504
ERICA DEES APRN 270
KIMBERLY LASKEY APRN 50454
ADAM OREN MAKIN PA 1792
SANDRA MELLOR APRN 88750

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