GALLARDO, ERIKA TAYLOR - 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

GALLARDO, ERIKA TAYLOR

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:	SOUTHWESTERN MEDICAL CENTER 5604 SW LEE BVLD STE 306 LAWTON OK 73505 Address last updated on 2/21/2024
Phone #:	(580) 531-4006
Fax #:
County:	COMANCHE
License:	5210
Dated:	2/1/2024
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
SOUTHWESTERN MEDICAL CENTER 5604 SW LEE BVLD STE 306 LAWTON OK 73505 Phone #: (580) 531-4006 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
KRISTIE MARIE MASON	MD	27917
KRISTIN WILLS	DO	3995

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