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HABENICHT, DAVID WILLIAM       
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: TEAM HEALTH OFFICE
2900 S. TELEPHONE RD #250
MOORE OK 73160

Address last updated on 10/23/2023
Phone #: (405) 237-7500
Fax #:
County: CLEVELAND
License: 37131
Dated: 11/1/2020
Expires: 11/1/2024
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 6 / 1984
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
TEAM HEALTH OFFICE
2900 S. TELEPHONE RD #250
MOORE OK 73160

Phone #: (405) 237-7500
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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