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Oklahoma Board of Medical Licensure and Supervision

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ANTONETTI, ALFREDO RICARDO       
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: 6020 W PLANO PKWY
PLANO TX 75093

Address last updated on 6/3/2013
Phone #: (469) 429-7558
Fax #: (972) 543-2499
County: NOT OKLAHOMA
License: 9757
Dated: 7/12/1972
Expires: 7/1/2014
License Type: Medical Doctor
Specialty: Plastic 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: / 1971
CME Year: 2015
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 PLASTIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
CIGNA HMO
CIGNA PPO
Humana Medicare Advantage PPO
Texas Medicaid
United Healthcare HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
6020 W PLANO PKWY
PLANO TX 75093

Phone #: (469) 429-7558
Fax #: (972) 543-2499
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri:
Sat:
Sun: 9:00AM - 5:00PM
Spanish

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