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DUBAL, DEEPALI JITENDRA       
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: LEGACY COMMUNITY HEALTH CLINIC
12667 BISSONNET ST
HOUSTON TX 77099

Address last updated on 4/23/2015
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 27762
Dated: 5/17/2010
Expires: 5/1/2016
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: 6 / 2004
CME Year: 2016
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: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LEGACY COMMUNITY HEALTH CLINIC
12667 BISSONNET ST
HOUSTON TX 77099

Phone #:
Fax #:
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