COLLAZO, WILLIAM ANTHONY - Licensee Information

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

COLLAZO, WILLIAM ANTHONY

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:	WILLIAM A COLLAZO MD FACC 1211 N. SHARTEL AVE SUITE 1006 OKLAHOMA CITY OK 73103 Address last updated on 4/27/2021
Phone #:	(405) 494-9100
Fax #:	(405) 494-9101
County:	OKLAHOMA
License:	17633
Dated:	5/18/1991
Expires:	5/1/2025
License Type:	Medical Doctor
Specialty:	Interventional Cardiology Cardiovascular Disease Internal Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Baylor Coll Of Med, Houston Tx 77030
Graduated:	6 / 1981
CME Year:	2025

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 INTERNAL MEDICINE AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna HMO Aetna PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO CommunityCare HMO, Inc CommunityCare Senior HMO First Health HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) PPO USA Preferred Community Choice Private Healthcare Systems (PHCS) Prudential Health Care Plan, Inc Secure Horizons HMO SoonerCare HMO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	SSM Health Bone and Joint Hospital at St. Anthony Oklahoma City, OK SSM Health St. Anthony Hospital - OKC Oklahoma City, OK

Locations:	Hours:	Languages:
WILLIAM A COLLAZO MD FACC 1211 N. SHARTEL AVE SUITE 1006 OKLAHOMA CITY OK 73103 Phone #: (405) 494-9100 Fax #: (405) 494-9101	Mon: 8:30AM - 5:00PM Tue: 8:30AM - 5:00PM Wed: 8:30AM - 5:00PM Thu: 8:30AM - 5:00PM Fri: 8:30AM - 4:00PM Sat: Sun:	Spanish

Name:	Type:	License Number:
Primary Supervisees(s):
KRYSTAL FLETCHER	APRN	99156
JOAN MILLER	APRN	65518

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