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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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BERRY, DONNIE GENE       
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: GRAND PRAIRIE PEDIATRICS & ALLERGY CLINIC
7301 COMANCHE AVE.
OKLAHOMA CITY OK 73132-6698

Address last updated on 6/4/2010
Phone #: (405) 721-8090
Fax #: (405) 722-8529
County: OKLAHOMA
License: 22586
Dated: 7/20/2001
Expires: 8/16/2010
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 5 / 2000
CME Year: 2013
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: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
Humana ChoiceCare
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
GRAND PRAIRIE PEDIATRICS & ALLERGY CLINIC
7301 COMANCHE AVE.
OKLAHOMA CITY OK 73132-6698

Phone #: (405) 721-8090
Fax #: (405) 722-8529

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