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Last Update: Thursday, November 21, 2024 3:48 AM CST
Next Update: Thursday, November 21, 2024 12:00 PM CST
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MAH-MCCAA, BRENDA JOYCE
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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.
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| Practice Address: |
1015 SW 4TH ST
MOORE OK 73160-2404
Address last updated on 7/15/2024 |
| Phone #: |
(405) 378-2001 |
| Fax #: |
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| County: |
CANADIAN |
| License: |
34369 |
| Dated: |
9/25/2019 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1991 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
ABPS - Family Medicine |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
1015 SW 4TH ST
MOORE OK 73160-2404
Phone #:
(405) 378-2001
Fax #:
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Mon: 7:00AM - 5:00PM
Tue:
Wed: 7:00AM - 5:00PM
Thu:
Fri: 7:00AM - 5:00PM
Sat:
Sun: |
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