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CAMPA, JOHN ASCENCION III       
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: 3206 STONEHAVEN ROAD
SAN ANTONIO TX 78230

Address last updated on 8/23/2004
Phone #: (210) 979-0490
Fax #:
County: NOT OKLAHOMA
License: 21339
Dated: 8/19/1999
Expires: 8/1/2001
License Type: Medical Doctor
Specialty: Neurology
Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: MEXICO MEDICAL SCHOOLS
Graduated: 6 / 1982
CME Year: 2002
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/8/2001 Revoked License
Board Filings and/or Orders:
11/08/2001
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3206 STONEHAVEN ROAD
SAN ANTONIO TX 78230

Phone #: (210) 979-0490
Fax #:

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