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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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COWLEY, BENJAMIN DOLLAR JR       
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: OU PHYSICIANS NICHOLSON CLINIC
1000 NE13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 10/2/2024
Phone #: (405) 271-8248
Fax #: (405) 271-4230
County: OKLAHOMA
License: 22666
Dated: 12/4/2001
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Nephrology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 6 / 1981
CME Year: 2025
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Nephrology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
OU PHYSICIANS NICHOLSON CLINIC
1000 NE13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 271-8248
Fax #: (405) 271-4230
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MEAGAN DECHER APRN 95541
PAT ROWELL APRN 73646
REBECCA TRIMBLE APRN 11194
MANIMEHALAI VIJAYAN APRN 64359

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