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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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ORTIZ-CRUZ, DESIREE       
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: 2701 SW A AVENUE
LAWTON OK 73505

Address last updated on 8/9/2024
Phone #: (580) 248-1004
Fax #:
County: COMANCHE
License: 23510
Dated: 9/3/2003
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Neurology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF PR SCH OF MED, SAN JUAN PR 00936
Graduated: 5 / 1983
CME Year: 2027
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 PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific)
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
2701 SW A AVENUE
LAWTON OK 73505

Phone #: (580) 248-1004
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
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