SQUIRES, JASON SCOTT - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

SQUIRES, JASON SCOTT

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:	TEXOMACARE DURANT 698 WESTSIDE DR SUITE 110 DURANT OK 74701-3085 Address last updated on 2/26/2024
Phone #:	(580) 920-1922
Fax #:	(580) 920-1923
County:	BRYAN
License:	1034
Dated:	3/8/2000
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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.

Locations:	Hours:	Languages:
TEXOMACARE DURANT 698 WESTSIDE DR SUITE 110 DURANT OK 74701-3085 Phone #: (580) 920-1922 Fax #: (580) 920-1923

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
SHANNON GOODWIN CHAMBERS	MD	20525
Ely Reuben Gordon	DO	6292
MONICA WOODALL	DO	4972

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