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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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HOUCK, JOHN ROLAND       
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: VETERANS ADMINISTRATION MEDICAL CENTER
921 NE 13TH STREET
SURGERY DEPARTMENT
OKLAHOMA CITY OK 73104-5007
Address last updated on 5/20/2023
Phone #: (405) 456-1711
Fax #:
County: OKLAHOMA
License: 17455
Dated: 8/28/1990
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Head & Neck Surgery
Allergy
Sleep Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Stanford Univ Sch Of Med, Stanford CA 94305
Graduated: 6 / 1977
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 OTOLARYNGOLOGY
AMERICAN BOARD OF OTOLARYNGOLOGY - Sleep Medicine
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
VETERANS ADMINISTRATION MEDICAL CENTER
921 NE 13TH STREET
SURGERY DEPARTMENT
OKLAHOMA CITY OK 73104-5007
Phone #: (405) 456-1711
Fax #: 		Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 4:30PM
Sat:
Sun:
921 NE 13th St
Department of Surgery
Veteran's Administration Medical Center
Oklahoma City, OK 73104
Phone #: (405) 456-3409
Fax #: (12) 199- 		Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JENNIFER BENNETT APRN 69741
PETER LYNN GRAY PA 318
ANTHONY TYLER ROBERTSON PA 2660
ZACHARY FARRIS SANDERS PA 2880
MERRY MATHEW THENMADATHIL PA 1857

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