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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 6:44 PM CST
Next Update: Sunday, December 22, 2024 2:50 AM CST

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MAH-MCCAA, BRENDA JOYCE       
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: 1015 SW 4TH ST
MOORE OK 73160-2404

Address last updated on 7/15/2024
Phone #: (405) 378-2001
Fax #:
County: CANADIAN
License: 34369
Dated: 9/25/2019
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1991
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: ABPS - Family Medicine
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1015 SW 4TH ST
MOORE OK 73160-2404

Phone #: (405) 378-2001
Fax #:
Mon: 7:00AM - 5:00PM
Tue:
Wed: 7:00AM - 5:00PM
Thu:
Fri: 7:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JACOB SPENSER ALLBRITTON PA 2968
KEVIN EDWIN BEAVER PA 2637
SYDNEY ANN BELL PA 4889
QUYNH DIEM CHAU PA 2489
ERICA LYNN DAVIS PA 1623
AMANDA GARNER PA 4628
HUY JAMES D LE PA 2705
JEREMIAH DAVID MATTOX PA 2841
ROSA JAEL RIOS PA 2624
SARAH SALOUS PA 5385
JONATHAN JAMES SMITH PA 2096
STEPHANIE DAWN STEVENS PA 2798
LISA DANETTE WEST PA 1163
CHEE YANG PA 4583

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