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Next Update: Thursday, December 19, 2024 2:50 AM CST
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BENNOS, ERIC SIDARIS
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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: |
PO BOX 270549
FLOWER MOUND TX 75027-0549
Address last updated on 10/11/2018 |
| Phone #: |
(972) 724-0769 |
| Fax #: |
(972) 539-6485 |
| County: |
NOT OKLAHOMA |
| License: |
24954 |
| Dated: |
10/25/2006 |
| Expires: |
10/1/2019 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
LSU Sch Of Med in Shreveport, Shreveport La 71130 |
| Graduated: |
5 /
1982 |
| CME Year: |
2021 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
First Health
Great West Healthcare
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
Pacificare Commercial HMO
Prudential Health Care Plan, Inc
Texas Medicaid
Tricare Standard
UniCare Health Plans of Oklahoma
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
PO BOX 270549
FLOWER MOUND TX 75027-0549
Phone #:
(972) 724-0769
Fax #:
(972) 539-6485 |
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun: |
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