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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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ESTRADA, EVODIO HECTOR       
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: OAK STREET HEALTH
2130 SW 59TH STREET
OKLAHOMA CITY OK 73119

Address last updated on 2/5/2024
Phone #: (405) 303-7555
Fax #:
County: OKLAHOMA
License: 3129
Dated: 12/23/2019
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:
OAK STREET HEALTH
2130 SW 59TH STREET
OKLAHOMA CITY OK 73119

Phone #: (405) 303-7555
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RHONDA AGNES SPARKS MD 19503

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