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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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DIAZ, STEFANIE MARTIN       
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: THE CENTERS FOR KIDNEY CARE
1104 EAST LINCOLN ROAD
IDABEL OK 74745

Address last updated on 6/11/2024
Phone #: (903) 785-3300
Fax #:
County: MCCURTAIN
License: 33304
Dated: 7/16/2018
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Nephrology
Internal Medicine
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Esc De Med Fund Tech-Educ Souza Marques, Rio De Janeiro, Rj, Brazil
Graduated: 12 / 1992
CME Year: 2024
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 - Nephrology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: First Health
SoonerCare HMO
SoonerCare PPO
Texas Medicaid
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Paris Regional Medical Center
Paris, TX
Locations: Hours: Languages:
THE CENTERS FOR KIDNEY CARE
1104 EAST LINCOLN ROAD
IDABEL OK 74745

Phone #: (903) 785-3300
Fax #:
Mon:
Tue:
Wed: 9:00AM - 5:00PM
Thu:
Fri:
Sat:
Sun:
1133 Medical Drive
Tyler, TX 75701

Phone #: (903) 595-5486
Fax #: (11) 200-
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 1:00PM
Sat:
Sun: 8:00AM - 4:30PM
Spanish

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