HANES, RICHARD DEAN - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

HANES, RICHARD DEAN

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:	THE PHYSICIANS HOSPITAL OF ANADARKO 1002 E CENTRAL BLVD ANADARKO OK 73005 Address last updated on 9/6/2024
Phone #:	(405) 247-5004
Fax #:
County:	CADDO
License:	1346
Dated:	5/10/2004
Expires:	3/31/2025
Temp. Ltr. Issued:	11/23/2016
Temp. Ltr. Expires:	3/2/2017
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:
THE PHYSICIANS HOSPITAL OF ANADARKO 1002 E CENTRAL BLVD ANADARKO OK 73005 Phone #: (405) 247-5004 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
DONALD T BROCK	DO	3638
DONALD FRANK HASLAM	MD	13136
MARK GREGORY LIPE	MD	16509
RAKESH SHRIVASTAVA	MD	27981
SARAH ELISE SMITH	MD	32895

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