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Next Update: Thursday, December 19, 2024 2:50 AM CST
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IDEMUDIA, SMART OMOREGBEE
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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.
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| Practice Address: |
200 W. SOUTHWEST PARKWAY
LEWISVILLE TX 75067-7769
Address last updated on 8/29/2023 |
| Phone #: |
(972) 420-6777 |
| Fax #: |
(972) 420-0656 |
| County: |
NOT OKLAHOMA |
| License: |
18234 |
| Dated: |
9/11/1992 |
| Expires: |
9/1/2025 |
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Training
Issued:
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8/29/1991 |
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Training
Expires:
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9/15/1992 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
General Practice |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Tx Med Branch Galveston, Galveston Tx 77550 |
| Graduated: |
8 /
1991 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
HealthChoice |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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