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LEYVA, MARIO DE JESUS       
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 VETERANS CTR.
BOX 418
CLINTON OK 73601
Phone #:
Fax #:
County: CUSTER
License: 21622
Dated: 4/15/1982
Expires: 6/30/1985
License Type: Medical Doctor
Specialty: GERIATRICS
General Practice
Status: Inactive
Status Class: Special License
Restricted to: CLINTON VETERANS CENTER
Registered to Dispense: NO
Medical School: MEXICO MEDICAL SCHOOLS
Graduated: 6 / 1976
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA VETERANS CTR.
BOX 418
CLINTON OK 73601

Phone #:
Fax #:

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