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DELA CRUZ, TEDDY V       
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: PEDIATRIX MEDICAL GROUP OF OKLAHOMA
900 NORTH PORTER ST # 208-A
NORMAN OK 73071

Address last updated on 3/8/2005
Phone #: (800) 243-3839 x5458
Fax #:
County: CLEVELAND
License: 24291
Dated: 3/8/2005
Expires: 3/1/2007
License Type: Medical Doctor
Specialty: Neonatal-Perinatal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: TX A & M UNIV SYS HSC, COLL OF MED, COLLEGE STATION TX 77843
Graduated: 6 / 1988
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PEDIATRIX MEDICAL GROUP OF OKLAHOMA
900 NORTH PORTER ST # 208-A
NORMAN OK 73071

Phone #: (800) 243-3839 x5458
Fax #:

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