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WIESMAN, KATHRYN DENISE       
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: CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
3533 SOUTH ALAMEDA
DEPARTMENT OF ORTHOPEDICS
CORPUS CHRISTI TX 78411

Address last updated on 2/13/2019
Phone #: (361) 694-5000
Fax #:
County: NOT OKLAHOMA
License: 34591
Dated: 7/29/2019
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 6 / 2010
CME Year: 2022
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 ORTHOPAEDIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHILDREN'S PHYSICIAN SERVICES OF SOUTH TEXAS
3533 SOUTH ALAMEDA
DEPARTMENT OF ORTHOPEDICS
CORPUS CHRISTI TX 78411

Phone #: (361) 694-5000
Fax #:

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