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Oklahoma Board of Medical Licensure and Supervision

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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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NGUYEN, TRANG HUYEN       
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: 1705 EAST 19TH STREET HOLLIMAN STE 304
TULSA OK 74104

Address last updated on 7/31/2024
Phone #: (918) 748-7518
Fax #: (918) 550-6576
County: TULSA
License: 29726
Dated: 4/1/2013
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 5 / 2010
CME Year: 2025
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: ABPS - Family Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John - Sapulpa
Sapulpa, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK
Ascension St. John Nowata Health Center
Nowata, OK
Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
1705 EAST 19TH STREET HOLLIMAN STE 304
TULSA OK 74104

Phone #: (918) 748-7518
Fax #: (918) 550-6576
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CODI NICOLE CASTLEBERRY PA 2891
KIMBERLY COBB APRN 66821
KRYSTAL ROGERS APRN 18475
WILLIAM VAUGHN APRN 95057

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