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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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CANTU CLATZA, JUAN ANTONIO       
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: 3315 KETHLEY RD
SHAWNEE OK 74804

Address last updated on 11/7/2024
Phone #: (405) 273-5801
Fax #: (405) 878-3767
County: POTTAWATOMIE
License: 32336
Dated: 11/1/2018
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Endocrinology, Diabetes and Metabolism
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Auto De Tamaulipas, Fac De Med, Tampico, Tamaulipas, Mexico
Graduated: 6 / 2012
CME Year: 2027
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Endocrinology, Diabetes and Metabolism
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3315 KETHLEY RD
SHAWNEE OK 74804

Phone #: (405) 273-5801
Fax #: (405) 878-3767
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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