DEEB, MOUZIANE S. - 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

DEEB, MOUZIANE S.

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:	INTEGRIS BREAST SURGERY 10900 HEFNER POINTE DRIVE SUITE 505 OKLAHOMA CITY OK 73120 Address last updated on 2/12/2024
Phone #:	(405) 552-0400
Fax #:	(405) 752-4251
County:	OKLAHOMA
License:	3118
Dated:	11/13/2019
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:
INTEGRIS BREAST SURGERY 10900 HEFNER POINTE DRIVE SUITE 505 OKLAHOMA CITY OK 73120 Phone #: (405) 552-0400 Fax #: (405) 752-4251

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
Lakeside Women's Hospital
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
NICOLE SHARP COTTRELL	MD	38365
MARY KATHLEEN LINDEMUTH	MD	29997
MOHD OMAR QUTOB	MD	31642
DENISE LYNN RABLE	MD	17833

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