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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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EVANS, GENE HAROLD       
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: 535 6TH STREET
PAWNEE OK 74058

Address last updated on 9/27/2022
Phone #: (918) 762-3942
Fax #: (918) 762-4675
County: PAWNEE
License: 21798
Dated: 10/9/2000
Expires: 10/1/2025
Temp. Lic. Issued: 9/21/2000
Temp. Lic. Expires: 10/9/2000
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1993
CME Year: 2027
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: Rural Wellness - Fairfax (fmly Fairfax Mem. Hosp.)
Fairfax, OK
Locations: Hours: Languages:
535 6TH STREET
PAWNEE OK 74058

Phone #: (918) 762-3942
Fax #: (918) 762-4675
Mon: 8:30AM - 12:30PM
Tue: 8:30AM - 12:30PM
Wed: 8:30AM - 12:30PM
Thu: 8:30AM - 12:30PM
Fri: 8:30AM - 12:30PM
Sat:
Sun:
Fairfax Rural Health Clinic
40 Hospital Road
Fairfax, OK 74637

Phone #: (918) 642-8827
Fax #: (1) 201-12
Mon:
Tue: 9:00AM - 12:00PM
Wed:
Thu: 9:00AM - 12:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHASITY JANE BUTLER PA 2661
VALERIE HAZLIP APRN 74330
LINDSEY HESTER APRN 707
VICKIE LORRAINE MCBEE PA 616
CRYSTAL MCCARTY APRN 95871
ELMER GARI OWENS PA 619
VICTORIA J SALAMY-SULLINS PA 1812
MICHAEL SHAWN SCALF PA 1210
CASSI SMITH APRN 908
NHANHIEN DUC TRAN PA 1638

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