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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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CAUTHEN, BRETT BALFOUR
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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: |
701 NE 36TH STREET
OKLAHOMA CITY OK 73105
Address last updated on 6/11/2024 |
| Phone #: |
(405) 631-0611 |
| Fax #: |
(405) 631-0811 |
| County: |
OKLAHOMA |
| License: |
25197 |
| Dated: |
8/18/2006 |
| Expires: |
8/1/2025 |
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Temp.
Lic.
Issued:
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5/31/2006 |
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Temp.
Lic.
Expires:
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9/23/2006 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Tx Med Branch Galveston, Galveston Tx 77550 |
| Graduated: |
5 /
1997 |
| CME Year: |
2027 |
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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: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
Champ VA
CIGNA HMO
CIGNA PPO
Global Health HMO
Great West Healthcare
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO
United Insurance
Worknet of Oklahoma |
| Hospital Privileges: |
None listed |
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