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Next Update: Saturday, December 21, 2024 2:50 AM CST
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GONZALEZ MERCADO, MARISELA
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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: |
600 ELIZABETH ST
CORPUS CHRSTI TX 78404
Address last updated on 4/3/2023 |
| Phone #: |
(361) 881-3000 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
34697 |
| Dated: |
5/6/2019 |
| Expires: |
5/1/2024 |
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Temp.
Lic.
Issued:
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4/23/2019 |
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Temp.
Lic.
Expires:
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6/27/2019 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Auto De Nuevo Leon, Fac De Med, Monterrey, Nuevo Leon, Mexico |
| Graduated: |
7 /
2003 |
| 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: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
Hospital Not Listed
,
INTEGRIS Baptist Medical Center
Oklahoma City, OK
OU Health Medical Center
Oklahoma City, OK
St. Francis Hospital
Tulsa, OK
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