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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 13, 2024 6:57 PM CDT
Next Update: Tuesday, May 14, 2024 2:50 AM CDT

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FREDERICK, GARY ANTHONY       
Practice Address: 1020 SOUTH 4TH STREET
CANADIAN TX 79014

Address last updated on 5/26/2020
Phone #: (806) 323-6422
Fax #:
County: NOT OKLAHOMA
License: 15799
Dated: 6/6/1986
Expires: 6/1/2021
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in New Orleans, New Orleans La 70112
Graduated: 5 / 1980
CME Year: 2022
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.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare Standard
United Healthcare Options PPO
Hospital Privileges: Newman Memorial Hospital
Shattuck, OK
Locations: Hours: Languages:
1020 SOUTH 4TH STREET
CANADIAN TX 79014

Phone #: (806) 323-6422
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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