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Next Update: Thursday, December 19, 2024 12:00 PM CST
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LUTZ, BROCK DIXON
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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: |
2600 N. SAM RAYBURN FWY
SUITE 103
SHERMAN TX 75092
Address last updated on 5/9/2017 |
| Phone #: |
(903) 416-3650 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
20238 |
| Dated: |
7/10/1997 |
| Expires: |
7/1/2018 |
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Training
Issued:
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7/1/1996 |
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Training
Expires:
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8/1/1997 |
| License Type: |
Medical Doctor |
| Specialty: |
Infectious Disease |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1996 |
| CME Year: |
2018 |
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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: |
AMERICAN BOARD OF PREVENTIVE MEDICINE - Undersea & Hyperbaric Medicine |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Hospital Not Listed
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Hospital(s) Not In Oklahoma
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| Locations: |
Hours: |
Languages: |
2600 N. SAM RAYBURN FWY
SUITE 103
SHERMAN TX 75092
Phone #:
(903) 416-3650
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: 8:00AM - 5:00PM
Sun: 8:00AM - 5:00PM |
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