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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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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.
Practice Address: INTEGRIS COMMUNITY HOSPITAL -COUNCIL CROSSING
9417 N COUNCIL RD
OKLAHOMA CITY OK 73162-6228

Address last updated on 12/16/2024
Phone #: (405) 500-3280
Fax #:
County: OKLAHOMA
License: 35440
Dated: 1/16/2020
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Hospitalist
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 2009
CME Year: 2026
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Community Hospital in Del City
Del City, OK
INTEGRIS Community Hospital in Moore
Moore, OK
INTEGRIS Community Hospital OKC West (Council Crossing)
Oklahoma City, OK
Locations: Hours: Languages:
INTEGRIS COMMUNITY HOSPITAL -COUNCIL CROSSING
9417 N COUNCIL RD
OKLAHOMA CITY OK 73162-6228

Phone #: (405) 500-3280
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
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