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DANIELSON, GUY OTIS III       
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: 419 WSW LOOP 323
SUITE 400
TYLER TX 75701

Address last updated on 5/31/2018
Phone #: (903) 283-8388
Fax #:
County: NOT OKLAHOMA
License: 9054
Dated: 6/12/1968
Expires: 6/1/2019
License Type: Medical Doctor
Specialty: Neurological Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1968
CME Year: 2019
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: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
CIGNA PPO
Private Healthcare Systems (PHCS)
United Healthcare Options PPO
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
419 WSW LOOP 323
SUITE 400
TYLER TX 75701

Phone #: (903) 283-8388
Fax #:
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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