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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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DIAZ, PETER ERNEST       
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: 12455 E 100TH ST N
SUITE 220
OWASSO OK 74055-4675

Address last updated on 3/15/2024
Phone #: (918) 743-8200
Fax #: (918) 743-8609
County: TULSA
License: 21926
Dated: 5/9/2002
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 5 / 1999
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
Board Filings and/or Orders:
03/11/2002
00/00/0000
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA PPO
CommunityCare HMO, Inc
Global Health HMO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
OSMA Health (formerly Plico PPO)
Preferred Community Choice
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
12455 E 100TH ST N
SUITE 220
OWASSO OK 74055-4675

Phone #: (918) 743-8200
Fax #: (918) 743-8609
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 1:00PM
Fri: 8:00AM - 1:00PM
Sat:
Sun:
Spanish

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