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Oklahoma Board of Medical Licensure and Supervision

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

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PHAM, AUGUSTINE       
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: ACCESS MEDICAL CENTER
11601 S. WESTERN AVE
OKLAHOMA CITY OK 73170
Address last updated on 3/8/2024
Phone #: (405) 691-5208
Fax #:
County: OKLAHOMA
License: 2479
Dated: 2/9/2015
Expires: 3/31/2025
Temp. Ltr. Issued: 1/28/2015
Temp. Ltr. Expires: 5/15/2015
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:
ACCESS MEDICAL CENTER
11601 S. WESTERN AVE
OKLAHOMA CITY OK 73170
Phone #: (405) 691-5208
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GREG FAIRLIE DO 3850
FATIMA YOUSEF HUSSEIN MD 38329

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