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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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DOUVILLE, NICHOLAS ADAM       
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: FAMILY PRACTICE RESIDENCY PROGRAM AT OUHSC
900 N.E. 10TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 3/27/2018
Phone #: (405) 271-4311
Fax #:
County: OKLAHOMA
License: 33759
Dated: 7/1/2020
Expires: 7/1/2021
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: TX A & M UNIV SYS HSC, COLL OF MED, COLLEGE STATION TX 77843
Graduated: 5 / 2018
CME Year: 2023
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
FAMILY PRACTICE RESIDENCY PROGRAM AT OUHSC
900 N.E. 10TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4311
Fax #:

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