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RODRIQUEZ, SERGIO RAFAEL       
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: RT 4 BOX 14
HISSOM MEMORIAL CENTER
SAND SPRINGS OK 74063
Phone #:
Fax #:
County: TULSA
License: 21582
Dated: 12/21/1966
Expires: 6/30/1988
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: CUBA MEDICAL SCHOOLS
Graduated: 9 / 1947
CME Year: 2000
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
RT 4 BOX 14
HISSOM MEMORIAL CENTER
SAND SPRINGS OK 74063

Phone #:
Fax #:

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