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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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EASLEY, MARY JANE
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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.
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| Practice Address: |
CORE PATH
6918 CAMP BULLIS RD.
SAN ANTONIO TX 78256
Address last updated on 2/11/2024 |
| Phone #: |
(405) 613-6108 |
| Fax #: |
(210) 617-4457 |
| County: |
NOT OKLAHOMA |
| License: |
796 |
| Dated: |
12/26/1996 |
| Expires: |
3/31/2025 |
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Temp.
Ltr.
Issued:
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8/1/1996 |
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Temp.
Ltr.
Expires:
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8/1/1997 |
| License Type: |
Physician Assistant |
| Specialty: |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| CME Year: |
2025 |
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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:
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Lindsay Municipal Hospital
Lindsay, OK
Mercy Hospital OKC
Oklahoma City, OK
Select Specialty Hospital-OKC
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
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