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Oklahoma Board of Medical Licensure and Supervision

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ROSE, NADINE TERRAZAS       
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: 940 NE 13TH ST
SUITE 2B-2403
OKLAHOMA CITY OK 73104

Address last updated on 5/3/2011
Phone #: (405) 271-4249
Fax #: (405) 271-2421
County: OKLAHOMA
License: 25673
Dated: 7/1/2008
Expires: 7/1/2012
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX at San Antonio, UTSA Long School of Medicine
Graduated: 5 / 2007
CME Year: 2014
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: None listed
Locations: Hours: Languages:
940 NE 13TH ST
SUITE 2B-2403
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4249
Fax #: (405) 271-2421
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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