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JIMENEZ, ENRIQUE LUIS       
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: PARKVIEW REGIONAL MEDICAL CENTER
11109 PARKVIEW PLAZA DR
FORT WAYNE IN 46845

Address last updated on 2/3/2021
Phone #: (260) 266-1000
Fax #:
County: NOT OKLAHOMA
License: 35671
Dated: 4/15/2020
Expires: 4/1/2022
License Type: Medical Doctor
Specialty: Hospitalist
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Del Norte, Fac De Med, Barranquilla, Colombia
Graduated: 12 / 1993
CME Year: 2023
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: None listed
Locations: Hours: Languages:
PARKVIEW REGIONAL MEDICAL CENTER
11109 PARKVIEW PLAZA DR
FORT WAYNE IN 46845

Phone #: (260) 266-1000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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