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PENDERGRASS, DESIREE BUEHLER
Practice Address: TEXAS DEPT OF HEALTH
BUREAU OF CHILDREN'S HEALTH
1100 WEST 49TH STREET
AUSTIN TX 78756-3179
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16646
Dated: 8/24/1988
Expires: 8/1/1999
Training Issued: 6/29/1988
Training Expires: 10/20/1989
License Type: Medical Doctor
Specialty: PUBLIC HEALTH
General Preventive Medicine
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated: 6 / 1987
CME Year:
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 PREVENTIVE MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
TEXAS DEPT OF HEALTH
BUREAU OF CHILDREN'S HEALTH
1100 WEST 49TH STREET
AUSTIN TX 78756-3179

Phone #:
Fax #:

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