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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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PLATA, MARIA ALEJANDRA       
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: 1113 SUITE B SW 30TH CT SUITE B
MOORE OK 73160

Address last updated on 6/6/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 32253
Dated: 7/1/2017
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Wake Forest Univ Sch of Med, Winston-Salem, NC 27157
Graduated: 5 / 2016
CME Year: 2026
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 - Psychiatry
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1113 SUITE B SW 30TH CT SUITE B
MOORE OK 73160

Phone #:
Fax #:
Mon:
Tue:
Wed: 8:00AM - 12:00PM
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANN MARIE CLOUD PA 2907
STEPHANIE RENEE GARRISON PA 1522
CASSANDRA MARIE GENTRY PA 1515
JARED KECK APRN 10944
KATHARINE SMITH RAUN PA 3115
CAROLINE WHITAKER APRN 12466

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