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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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TYRRELL, MICKEY RAY
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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.
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| Practice Address: |
803 N FOREMAN
VINITA OK 74301
Address last updated on 5/21/2024 |
| Phone #: |
(918) 256-2261 |
| Fax #: |
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| County: |
CRAIG |
| License: |
22897 |
| Dated: |
6/9/2005 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
St George's Univ, Sch Of Med, St George's, Grenada |
| Graduated: |
6 /
2002 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 5/9/2011 |
Restriction Lifted |
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| 4/9/2011 |
Restriction |
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| 3/10/2011 |
Suspension, License |
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| 8/13/2010 |
Complaint Citation |
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Board Filings and/or Orders:
03/10/2011
08/13/2010
08/13/2010
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
St. Francis Hospital Vinita (fmly Craig General Hospital)
Vinita, OK
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| Locations: |
Hours: |
Languages: |
803 N FOREMAN
VINITA OK 74301
Phone #:
(918) 256-2261
Fax #:
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Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 12:00PM
Sat:
Sun: |
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