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Next Update: Thursday, December 19, 2024 2:50 AM CST
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BAUTISTA, MARTIN DONATO
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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: |
350 NE 12TH STREET
GUYMON OK 73942
Address last updated on 5/17/2023 |
| Phone #: |
(580) 338-8700 |
| Fax #: |
(580) 338-8600 |
| County: |
TEXAS |
| License: |
19756 |
| Dated: |
6/27/1996 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Gastroenterology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of The Philippines Sys, Coll Of Med, Manila, Philippines |
| Graduated: |
6 /
1989 |
| CME Year: |
2025 |
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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 PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
Railroad Medicare
United Healthcare POS |
| Hospital Privileges: |
Memorial Hospital of Texas County
Guymon, OK
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| Locations: |
Hours: |
Languages: |
350 NE 12TH STREET
GUYMON OK 73942
Phone #:
(580) 338-8700
Fax #:
(580) 338-8600 |
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat: 9:00AM - 12:00PM
Sun: |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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BRIAN K LANKFORD
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AT |
268 |
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