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LANDRUM, MARILYN M       
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: TEXOMACARE-DURANT
TEXOMA HEALTHCARE SYSTEM
1901 WEST UNIVERSITY
DURANT OK 74701-3076

Address last updated on 9/13/2001
Phone #: (580) 920-1666
Fax #: (580) 920-1163
County: BRYAN
License: 19467
Dated: 8/24/1995
Expires: 8/1/2003
Temp. Lic. Issued: 6/23/1994
Temp. Lic. Expires: 6/1/1996
License Type: Medical Doctor
Specialty: MEDICINE/PEDIATRICS
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Sanford Sch of Med of the Univ of SD, Vermillion, SD
Graduated: 5 / 1994
CME Year: 2003
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 PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
TEXOMACARE-DURANT
TEXOMA HEALTHCARE SYSTEM
1901 WEST UNIVERSITY
DURANT OK 74701-3076

Phone #: (580) 920-1666
Fax #: (580) 920-1163

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