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EL-TAKECH, HAISSAM GHALEB       
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: JACKSON COUNTY MEMORIAL HOSPITAL
1200 EAST PECAN
SOUTH TOWER
ALTUS OK 73521

Address last updated on 12/28/2012
Phone #: (580) 477-7210
Fax #:
County: JACKSON
License: 24760
Dated: 1/9/2006
Expires: 1/1/2014
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Kauno Medicinos Univ, Kaunas, Lithuania
Graduated: 6 / 1999
CME Year: 2015
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: Jackson County Memorial Hospital
Altus, OK
Locations: Hours: Languages:
JACKSON COUNTY MEMORIAL HOSPITAL
1200 EAST PECAN
SOUTH TOWER
ALTUS OK 73521

Phone #: (580) 477-7210
Fax #:

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