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WEIR, MICAH LORENZ       
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: RADIOLOGY ASSOCIATES OF NORTH TEXAS PA
816 WEST CANNON STREET
FORT WORTH TX 76104

Address last updated on 6/24/2020
Phone #: (817) 321-0368
Fax #:
County: NOT OKLAHOMA
License: 34910
Dated: 8/1/2019
Expires: 8/1/2021
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108
Graduated: 5 / 1999
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
RADIOLOGY ASSOCIATES OF NORTH TEXAS PA
816 WEST CANNON STREET
FORT WORTH TX 76104

Phone #: (817) 321-0368
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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