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Oklahoma Board of Medical Licensure and Supervision

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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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MCLAURIN, EMILY YASEN       
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: FOUNDATIONS DIRECT CARE
525 NW 11TH ST
SUITE 110
OKLAHOMA CITY OK 73103-2440

Address last updated on 6/9/2024
Phone #: (405) 563-7200
Fax #: (405) 279-0429
County: OKLAHOMA
License: 25125
Dated: 7/1/2007
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 2006
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
FOUNDATIONS DIRECT CARE
525 NW 11TH ST
SUITE 110
OKLAHOMA CITY OK 73103-2440

Phone #: (405) 563-7200
Fax #: (405) 279-0429
Mon: 8:30AM - 3:30PM
Tue: 8:30AM - 3:30PM
Wed: 8:30AM - 3:30PM
Thu: 8:30AM - 3:30PM
Fri: 8:30AM - 12:00PM
Sat:
Sun:
1100 E I-35 Frontage Road
Edmond, OK 73034

Phone #: (405) 340-7400
Fax #: (7) 200-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DEBRA MCCULLOCK APRN 47643

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