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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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TYNDALL, ROBERT JAMES       
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: 1705 RENAISSANCE BLVD
SUITE 120
EDMOND OK 73013-3043

Address last updated on 6/21/2023
Phone #: (405) 726-9855
Fax #: (405) 351-7302
County: OKLAHOMA
License: 18639
Dated: 8/24/1993
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Neurology
Other Specialty
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1985
CME Year: 2027
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 PSYCHIATRY AND NEUROLOGY (Neurology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Locations: Hours: Languages:
1705 RENAISSANCE BLVD
SUITE 120
EDMOND OK 73013-3043

Phone #: (405) 726-9855
Fax #: (405) 351-7302
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CANDICE RAE BREEDEN PA 1512
LEA BRYAN APRN 129002
SARA HUBBARD APRN 113020
SAMUEL WADE KIMBROUGH PA 5029

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