BROWN, AUSTIN LANE - 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

BROWN, AUSTIN LANE

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:	ASCENSION MEDICAL GROUP ST. JOHN GENERAL SURGERY 1725 E 19TH ST STE 800 TULSA OK 74104 Address last updated on 3/7/2024
Phone #:	(918) 744-3131
Fax #:
County:	TULSA
License:	4657
Dated:	11/1/2021
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:
ASCENSION MEDICAL GROUP ST. JOHN GENERAL SURGERY 1725 E 19TH ST STE 800 TULSA OK 74104 Phone #: (918) 744-3131 Fax #:

Hospital Privileges:

Ascension St. John - Owasso
Owasso, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
Ty Douglas Kirkpatrick	DO	5243

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