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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

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RUIDERA, GRACE MATA       
Practice Address: 111 N. POST ROAD
SUITE C
MIDWEST CITY OK 73130-3605

Address last updated on 1/10/2023
Phone #: (405) 455-4342
Fax #: (405) 455-4381
County: OKLAHOMA
License: 19279
Dated: 3/21/1995
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Nephrology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: PHILIPPINE MEDICAL SCHOOLS
Graduated: 4 / 1979
CME Year: 2025
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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
111 N. POST ROAD
SUITE C
MIDWEST CITY OK 73130-3605

Phone #: (405) 455-4342
Fax #: (405) 455-4381
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TINA CRABTREE APRN 86078
KATRINA TODD APRN 117290

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