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Oklahoma Board of Medical Licensure and Supervision

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TATE, HARRY BRACKENRIDGE       
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: PO BOX 431
1215 EAST HARTFORD
PONCA CITY OK 74602-0431

Address last updated on 8/11/2004
Phone #: (918) 738-4494
Fax #:
County: KAY
License: 8127
Dated: 6/12/1963
Expires: 6/1/2003
License Type: Medical Doctor
Specialty: Neurological Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1963
CME Year: 2004
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 NEUROLOGICAL SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PO BOX 431
1215 EAST HARTFORD
PONCA CITY OK 74602-0431

Phone #: (918) 738-4494
Fax #:

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