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RIDDLE, ELISE M       
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: PEDIATRIC HEART SPECIALISTS
7777 FOREST LANE
SUITE B 314
DALLAS TX 75230

Address last updated on 9/13/2004
Phone #: (972) 566-8700
Fax #:
County: NOT OKLAHOMA
License: 23154
Dated: 11/21/2002
Expires: 11/1/2006
License Type: Medical Doctor
Specialty: Pediatric Cardiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of AR Coll Of Med, Little Rock AR 72205
Graduated: 5 / 1994
CME Year: 2008
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
SoonerCare PPO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: None listed
Locations: Hours: Languages:
PEDIATRIC HEART SPECIALISTS
7777 FOREST LANE
SUITE B 314
DALLAS TX 75230

Phone #: (972) 566-8700
Fax #:
Sun: 8:30AM - M Spanish

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