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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, November 21, 2024 6:43 PM CST
Next Update: Friday, November 22, 2024 2:50 AM CST

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PATTERSON, TEMP RAY       
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: 6888 E 133RD ROAD
MEDICAL DEPARTMENT
HOLDENVILLE OK 74848

Address last updated on 5/3/2024
Phone #: (405) 698-5900
Fax #:
County: HUGHES
License: 18099
Dated: 7/1/1992
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduated: 5 / 1991
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/29/2023 Modification Order
5/12/2022 License Reinstated
7/30/2020 Surrendered License
3/26/2020 Complaint Citation
Board Filings and/or Orders:
09/29/2023
05/12/2022
08/06/2020
04/30/2020
03/26/2020
03/26/2020
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OTOLARYNGOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Lindsay Municipal Hospital
Lindsay, OK
Locations: Hours: Languages:
6888 E 133RD ROAD
MEDICAL DEPARTMENT
HOLDENVILLE OK 74848

Phone #: (405) 698-5900
Fax #:
Mon: 7:00AM - 5:00PM
Tue: 7:00AM - 5:00PM
Wed: 7:00AM - 5:00PM
Thu: 7:00AM - 5:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CYNTHIA BAUGH APRN 58415
SERENA BREWER APRN 57585
MELISSA GRAHAM APRN 4183

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