HEATH, ANGELA MICHELE - 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

HEATH, ANGELA MICHELE

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:	ADA PRIMARY CARE PAIN MANAGEMENT AND WEIGHT LOSS 1601 N BROADWAY AVENUE ADA OK 74820 Address last updated on 7/23/2024
Phone #:	(866) 306-4461
Fax #:	(405) 300-1336
County:	PONTOTOC
License:	3179
Dated:	2/11/2020
Expires:	3/31/2025
Temp. Ltr. Issued:	1/24/2020
Temp. Ltr. Expires:	3/5/2020
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:
ADA PRIMARY CARE PAIN MANAGEMENT AND WEIGHT LOSS 1601 N BROADWAY AVENUE ADA OK 74820 Phone #: (866) 306-4461 Fax #: (405) 300-1336

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
STEPHEN KHOURY	DO	3769
KATHI DENISE RUBLES	MD	12212
BOB JOE SCHANK	MD	28545

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