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Next Update: Thursday, December 19, 2024 2:50 AM CST

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FITZGERALD, MARY AMANDA       
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: TEXARKANA VA CBOC/OVERTON BROOKS VAMC
5701 SUMMERHILL RD
TEXARKANA TX 75503

Address last updated on 6/8/2023
Phone #: (870) 779-2751
Fax #: (870) 779-2740
County: NOT OKLAHOMA
License: 29747
Dated: 6/13/2013
Expires: 6/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108
Graduated: 5 / 1986
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
TEXARKANA VA CBOC/OVERTON BROOKS VAMC
5701 SUMMERHILL RD
TEXARKANA TX 75503

Phone #: (870) 779-2751
Fax #: (870) 779-2740
Mon:
Tue:
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Thu:
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