BROWN, JACK HOWARD - Licensee Information

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

BROWN, JACK HOWARD

Practice Address:	200 N MAIN ST SUITE D SAND SPRINGS OK 74063-1147 Address last updated on 6/16/2023
Phone #:	(918) 246-3456
Fax #:	(918) 246-3457
County:	TULSA
License:	16933
Dated:	7/1/1989
Expires:	7/1/2024
Training Issued:	5/23/1988
Training Expires:	9/30/1989
License Type:	Medical Doctor
Specialty:	Family Medicine Geriatric Medicine (Family Practice)

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	ORAL ROBERTS UNIV SCH OF MED, TULSA OK 74137
Graduated:	5 / 1988
CME Year:	2024

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:
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna PPO Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO CIGNA PPO Coventry Health Care National Network First Health Global Health HMO HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO National Preferred Provider Network (NPPN) Oklahoma Health Network PPO One Health Plan PPO OSMA Health (formerly Plico PPO) PHCS (Private Healthcare Systems) PPO Oklahoma Preferred Community Choice Private Healthcare Systems (PHCS) Railroad Medicare Secure Horizons HMO Tricare for Life United Healthcare Choice United Healthcare EPO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
200 N MAIN ST SUITE D SAND SPRINGS OK 74063-1147 Phone #: (918) 246-3456 Fax #: (918) 246-3457	Mon: 8:00AM - 4:00PM Tue: 8:00AM - 4:00PM Wed: 8:00AM - 4:00PM Thu: 8:00AM - 4:00PM Fri: 8:00AM - 12:00PM Sat: Sun:
401 E BROADWAY CT SUITE H SAND SPRINGS, OK 74063 Phone #: (918) 241-5673 Fax #: (1) 202-	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: EVERY OTHER SATURDAY Sun: CLOSED

Name:	Type:	License Number:
Primary Supervisees(s):
ZIVA COOPER	APRN	6174
BRITTIANY COYER	APRN	6504
KIMBERLY LASKEY	APRN	50454
ADAM OREN MAKIN	PA	1792
SANDRA MELLOR	APRN	88750
FRANCISCA TRUJILLO	APRN	85028