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Next Update: Thursday, December 19, 2024 12:00 PM CST
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MENDELOFF, ERIC NEAL
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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: |
CONGENITAL HEART SURGERY CENTER
7777 FORREST LANE #B-115
DALLAS TX 75230
Address last updated on 1/9/2014 |
| Phone #: |
(972) 566-2525 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
26709 |
| Dated: |
1/26/2009 |
| Expires: |
1/1/2015 |
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Temp.
Lic.
Issued:
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11/21/2008 |
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Temp.
Lic.
Expires:
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1/30/2009 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatric Cardiothoracic Surgery
Cardiothoracic Surgery |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
D Geffen Sch of Med-UCLA, Los Angeles CA 90095 |
| Graduated: |
6 /
1985 |
| CME Year: |
2015 |
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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 THORACIC SURGERY
AMERICAN BOARD OF THORACIC SURGERY - Congenital Cardiac Surgery |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna Managed Choice
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
Coventry Health Care National Network
First Health
Galaxy Health Network
Great West Healthcare
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Multiplan PPO
National Preferred Provider Network (NPPN)
One Health Plan PPO
PHCS (Private Healthcare Systems)
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
SoonerCare HMO
SoonerCare PPO
Texas Medicaid
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO
United Healthcare POS
USA Managed Care
Welcor/Sooner |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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