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INTERIANO, RODRIGO BENJAMIN       
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: PEDIATRIC SURGICAL ASSOCIATES
12200 PARK CENTRAL DRIVE
SUITE 400
DALLAS TX 75251

Address last updated on 3/9/2022
Phone #: (214) 483-9300
Fax #:
County: NOT OKLAHOMA
License: 33622
Dated: 7/1/2018
Expires: 7/1/2022
License Type: Medical Doctor
Specialty: General Surgery
Pediatric Surgery (Surgery)
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: 6 / 2010
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: AMERICAN BOARD OF SURGERY
AMERICAN BOARD OF SURGERY - Pediatric Surgery
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PEDIATRIC SURGICAL ASSOCIATES
12200 PARK CENTRAL DRIVE
SUITE 400
DALLAS TX 75251

Phone #: (214) 483-9300
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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