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APPLETON, NICOLAS CHEATHAM       
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: ENVISION PHYSICIAN SERVICES
13737 NOEL RD. STE. 1600-RAYS
DALLAS TX 75240

Address last updated on 4/29/2020
Phone #: (303) 933-8270
Fax #:
County: NOT OKLAHOMA
License: 34026
Dated: 6/5/2018
Expires: 6/1/2021
Temp. Lic. Issued: 5/23/2018
Temp. Lic. Expires: 6/22/2018
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF TN, HLTH SCI CTR, COLL OF MED, MEMPHIS TN 38163
Graduated: 5 / 2012
CME Year: 2021
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ENVISION PHYSICIAN SERVICES
13737 NOEL RD. STE. 1600-RAYS
DALLAS TX 75240

Phone #: (303) 933-8270
Fax #:
Mon:
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