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DANIELSON, GUY OTIS III
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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.
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Practice Address: |
419 WSW LOOP 323
SUITE 400
TYLER TX 75701
Address last updated on 5/31/2018 |
Phone #: |
(903) 283-8388 |
Fax #: |
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County: |
NOT OKLAHOMA |
License: |
9054 |
Dated: |
6/12/1968 |
Expires: |
6/1/2019 |
License Type: |
Medical Doctor |
Specialty: |
Neurological Surgery |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
Graduated: |
6 /
1968 |
CME Year: |
2019 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF NEUROLOGICAL SURGERY |
New Patients: |
Yes |
Medicaid: |
No |
Medicare: |
Yes |
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HMO/PPO: |
Aetna PPO
BlueChoice PPO
CIGNA PPO
Private Healthcare Systems (PHCS)
United Healthcare Options PPO |
Hospital Privileges: |
Hospital(s) Not In Oklahoma
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Locations: |
Hours: |
Languages: |
419 WSW LOOP 323
SUITE 400
TYLER TX 75701
Phone #:
(903) 283-8388
Fax #:
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Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00AM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 12:00PM Sat: 8:00AM - 12:00PM CLOSED Sun: 8:00AM - 5:00PM CLOSED |
Spanish |
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