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Next Update: Thursday, December 19, 2024 2:50 AM CST
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ELLSWORTH, DONALD PHILLIPS JR
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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: |
20214 BRAIDWOOD DR.
STE. 215
KATY TX 77450
Address last updated on 6/5/2010 |
| Phone #: |
(281) 579-3600 x257 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
18526 |
| Dated: |
7/1/1993 |
| Expires: |
7/1/2010 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Sc Sch Of Med, Columbia Sc 29208 |
| Graduated: |
5 /
1986 |
| CME Year: |
2012 |
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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: |
No |
| Medicare: |
No |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
20214 BRAIDWOOD DR.
STE. 215
KATY TX 77450
Phone #:
(281) 579-3600 x257
Fax #:
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Mon: 7:30AM - 5:00PM
Tue: 7:30AM - 5:00PM
Wed: 7:30AM - 5:00PM
Thu: 7:30AM - 5:00PM
Fri: 7:30AM - 12:00PM
Sun: |
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