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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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IKONOMAKOU-NIKOLAIDIS, STAVROULA       
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: SCOTT &WHITE MEMORIAL
2401 S 31 STREET
DEPT OF ANESTHESIA
TEMPLE TX 76058

Address last updated on 5/18/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 23773
Dated: 6/1/2004
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Athens, Fac Med, Sch Of Hlth Sci, Nat'L & Kapodistrian, Athens
Graduated: 10 / 1990
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 ANESTHESIOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
SCOTT &WHITE MEMORIAL
2401 S 31 STREET
DEPT OF ANESTHESIA
TEMPLE TX 76058

Phone #:
Fax #:
Mon:
Tue:
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