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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST
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BISTA, BISHAL
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| Practice Address: |
HILLCREST MEDICAL CENTER
1120 S UTICA AVE
TULSA OK 74104
Address last updated on 10/30/2024 |
| Phone #: |
(918) 579-1100 |
| Fax #: |
|
| County: |
TULSA |
| License: |
5389 |
| Dated: |
10/28/2024 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
8/7/2024 |
|
Temp.
Ltr.
Expires:
|
11/21/2024 |
| License Type: |
Physician Assistant |
| Specialty: |
|
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2026 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
|
DARREN ALAN THOMAS
|
MD |
22449 |
|
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