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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MARTIN, EDWARD THOMAS       
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: OKLAHOMA HEART INSTITUTE
9228 S MINGO #200
TULSA OK 74133-5712

Address last updated on 5/23/2024
Phone #: (918) 592-0999
Fax #: (918) 878-2436
County: TULSA
License: 20675
Dated: 6/19/1998
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of Toledo Coll of Med, Toledo OH 43699
Graduated: 6 / 1991
CME Year: 2025
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 INTERNAL MEDICINE - Cardiovascular Disease
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA HEART INSTITUTE
9228 S MINGO #200
TULSA OK 74133-5712

Phone #: (918) 592-0999
Fax #: (918) 878-2436
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CANDIS BROADNAX APRN 94532
MALLORY NEAL APRN 3738
JAIME LYNN WILKINSON PA 1246

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