PARKER, WINFRED LEE - 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

PARKER, WINFRED LEE

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:	SERADGE MEDICAL 13100 N WESTERN AVE. STE. 200 OKLAHOMA CITY OK 73114-1431 Address last updated on 3/18/2024
Phone #:	(405) 634-4263
Fax #:	(405) 634-4267
County:	OKLAHOMA
License:	250
Dated:	9/21/1979
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:
SERADGE MEDICAL 13100 N WESTERN AVE. STE. 200 OKLAHOMA CITY OK 73114-1431 Phone #: (405) 634-4263 Fax #: (405) 634-4267

Hospital Privileges:

INTEGRIS Southwest Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
JOEL LOUIS FRAZIER	MD	24229
HOUSHANG SERADGE	MD	12474

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