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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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DELAROSA, MANUEL JOSE       
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: WELLFAST URGENT CARE
1902 E. GORE BLVD
LAWTON OK 73501

Address last updated on 6/19/2023
Phone #: (580) 357-4200
Fax #: (580) 357-4201
County: COMANCHE
License: 21197
Dated: 7/6/1999
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Pontificia Univ Javeriana, Fac De Med, Bogota, Colombia
Graduated: 1 / 1982
CME Year: 2026
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 EMERGENCY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO Oklahoma
PPO USA
Preferred Community Choice
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Southwestern Medical Center
Lawton, OK
Locations: Hours: Languages:
WELLFAST URGENT CARE
1902 E. GORE BLVD
LAWTON OK 73501

Phone #: (580) 357-4200
Fax #: (580) 357-4201
Mon: 9:00AM - 8:00PM
Tue: 9:00AM - 8:00PM
Wed: 9:00AM - 8:00PM
Thu: 9:00AM - 8:00PM
Fri: 9:00AM - 8:00PM
Sat: 9:00AM - 8:00PM
Sun: 1:00PM - 7:00PM
1902 East Gore Blvd
Lawton, OK 73501

Phone #: (580) 357-4200
Fax #: (6) 201-
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 6:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CATHY CARNS APRN 44830
CARMEN ANNETTE PERCIVAL PA 998

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