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Oklahoma Board of Medical Licensure and Supervision

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LOPEZ, RANDOLPH ALPHONSE       
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: NORTHWEST HOUSTON HAND CENTER
3726 DACOMA
HOUSTON TX 77092

Address last updated on 6/20/2013
Phone #: (713) 812-1612
Fax #:
County: NOT OKLAHOMA
License: 23531
Dated: 7/17/2003
Expires: 7/1/2014
License Type: Medical Doctor
Specialty: Hand Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Rutgers New Jersey Med Sch, Newark NJ 07103 (frmly UMDNJ)
Graduated: 5 / 1998
CME Year: 2016
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: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
One Health Plan PPO
PHCS (Private Healthcare Systems)
PPO USA
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
NORTHWEST HOUSTON HAND CENTER
3726 DACOMA
HOUSTON TX 77092

Phone #: (713) 812-1612
Fax #:

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