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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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ROTH, STEPHANIE DIANE
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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: |
11640 US HWY 87 N.
CARLSBAD TX 76934
Address last updated on 8/4/2024 |
| Phone #: |
(325) 465-2641 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
20210 |
| Dated: |
8/14/1997 |
| Expires: |
8/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Sports Medicine (Family Practice) |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of TX Med Sch at Houston, Houston Tx 77225 |
| Graduated: |
6 /
1994 |
| CME Year: |
2027 |
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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: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
CIGNA PPO
United Healthcare Options PPO |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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| Locations: |
Hours: |
Languages: |
11640 US HWY 87 N.
CARLSBAD TX 76934
Phone #:
(325) 465-2641
Fax #:
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Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun: |
Spanish |
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