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Next Update: Thursday, December 19, 2024 12:00 PM CST
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MOCZYGEMBA, ROGER MICHAEL
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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: |
1010 NW LOOP 410 SUITE 100A
SAN ANTONIO TX 78213
Address last updated on 5/30/2023 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
25136 |
| Dated: |
6/27/2008 |
| Expires: |
6/1/2024 |
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Temp.
Lic.
Issued:
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11/9/2006 |
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Temp.
Lic.
Expires:
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1/18/2007 |
| License Type: |
Medical Doctor |
| Specialty: |
General Practice |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
TX A & M UNIV SYS HSC, COLL OF MED, COLLEGE STATION TX 77843 |
| Graduated: |
6 /
1991 |
| CME Year: |
2026 |
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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: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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