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Oklahoma Board of Medical Licensure and Supervision

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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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MIMS, CATHERINE ANNE       
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: 1200 N CHILDRENS AVENUE
STE 6100
OKLAHOMA CITY OK 73104

Address last updated on 8/15/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 36208
Dated: 9/1/2020
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine/Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 5 / 2015
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
AMERICAN BOARD OF PEDIATRICS
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1200 N CHILDRENS AVENUE
STE 6100
OKLAHOMA CITY OK 73104

Phone #:
Fax #:
Mon:
Tue:
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Thu:
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1000 NE 13st Suite 1G
Oklahoma City, OK 73104

Phone #: (405) 271-3445
Fax #: (9) 202-
Mon:
Tue: 8:00AM - 12:00PM
Wed:
Thu: 1:00PM - 4:30PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TRACI ULIBARRI APRN 9480

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