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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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GUSTAFSON, ERIC ANDREW
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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: |
CONCENTRA CORPORATION
15800 MIDWAY RD.
ADDISON TX 75001
Address last updated on 5/13/2024 |
| Phone #: |
(855) 835-6337 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
34852 |
| Dated: |
6/1/2019 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Occupational Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Tulane Univ Sch Of Med, New Orleans La 70112 |
| Graduated: |
5 /
2001 |
| 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: |
None listed |
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