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Oklahoma Board of Medical Licensure and Supervision

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DOCKINS, CYNTHIA MAY       
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: 1301 PENNSYLVANIA AVE
DEPT OF NEONATALOGY
FORT WORTH TX 76104

Address last updated on 6/24/2017
Phone #: (817) 975-6575
Fax #:
County: NOT OKLAHOMA
License: 17735
Dated: 7/1/1991
Expires: 7/1/2018
Temp. Lic. Issued: 7/17/1990
Temp. Lic. Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1990
CME Year: 2018
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 PEDIATRICS
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1301 PENNSYLVANIA AVE
DEPT OF NEONATALOGY
FORT WORTH TX 76104

Phone #: (817) 975-6575
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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