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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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HOLDER, TIMOTHY WAYNE       
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: 14000 QUAIL SPRINGS PARKWAY
SUITE 650
OKLAHOMA CITY OK 73134

Address last updated on 6/27/2024
Phone #: (918) 348-4844
Fax #:
County: OKLAHOMA
License: 19951
Dated: 8/16/1996
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Palliative Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 6 / 1987
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 FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Hospice and Palliative Medicine
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Railroad Medicare
Hospital Privileges: St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK
Locations: Hours: Languages:
14000 QUAIL SPRINGS PARKWAY
SUITE 650
OKLAHOMA CITY OK 73134

Phone #: (918) 348-4844
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish

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