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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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SMALL, TINA CHRISTINE
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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: |
REYNOLDS ARMY HEALTH CLINIC FT. SILL
LAWTON OK 73501
Address last updated on 8/5/2024 |
| Phone #: |
(580) 558-8497 |
| Fax #: |
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| County: |
COMANCHE |
| License: |
24054 |
| Dated: |
9/9/2004 |
| Expires: |
9/1/2025 |
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Temp.
Lic.
Issued:
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8/19/2004 |
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Temp.
Lic.
Expires:
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9/24/2004 |
| License Type: |
Medical Doctor |
| Specialty: |
Physical Medicine & Rehabilitation |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Saba Univ Sch Of Med, Saba, Netherland Antilles |
| Graduated: |
6 /
1999 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 11/2/2007 |
Probation Ended |
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| 11/2/2006 |
Probation |
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| 10/3/2006 |
Complaint Citation |
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Board Filings and/or Orders:
11/02/2006
10/03/2006
10/03/2006
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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: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Reynolds Army Community Hospital
Fort Sill, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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BRANDY COOPER
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APRN |
90348 |
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