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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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IMAMURA, TAICHI       
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: WHEEL
2330 S. LAMAR BLVD. SUITE 300
AUSTIN TX 78704

Address last updated on 9/11/2024
Phone #: (512) 656-3198
Fax #:
County: NOT OKLAHOMA
License: 42468
Dated: 11/20/2023
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: HOKKAIDO UNIV, FAC OF MED, KITA-KU, SAPPORO, JAPAN
Graduated: 3 / 2007
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:
WHEEL
2330 S. LAMAR BLVD. SUITE 300
AUSTIN TX 78704

Phone #: (512) 656-3198
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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