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MENDRYGAL, NIKOLAS MITCHELL       
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: QUESTCARE
12221 MERIT DRIVE SUITE 1500
DALLAS TX 75251-2202

Address last updated on 4/10/2017
Phone #: (214) 217-1920
Fax #:
County: NOT OKLAHOMA
License: 29873
Dated: 6/10/2013
Expires: 6/1/2018
Temp. Lic. Issued: 4/26/2013
Temp. Lic. Expires: 6/28/2013
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 5 / 2003
CME Year: 2019
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
Locations: Hours: Languages:
QUESTCARE
12221 MERIT DRIVE SUITE 1500
DALLAS TX 75251-2202

Phone #: (214) 217-1920
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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