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Last Update: Thursday, May 9, 2024 4:03 AM CDT
Next Update: Thursday, May 9, 2024 12:00 PM CDT
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HENSON, EDWIN RAY III View on
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| Practice Address: |
PEDIATRIC CLINIC
4301 WILSON STREET
FORT SILL OK 73503
Address last updated on 6/26/2023 |
| Phone #: |
(580) 558-3942 |
| Fax #: |
(580) 558-3408 |
| County: |
COMANCHE |
| License: |
16952 |
| Dated: |
7/1/1989 |
| Expires: |
7/1/2024 |
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Training
Issued:
|
5/31/1988 |
|
Training
Expires:
|
9/30/1989 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Eastern VA Med Sch, Norfolk, VA |
| Graduated: |
5 /
1988 |
| CME Year: |
2024 |
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Pending and/or Past Disciplinary Actions:
|
| Date |
Action |
Reasons |
Remarks |
| 9/12/1999 |
Probation Ended |
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| 9/9/1994 |
Probation |
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| 9/9/1994 |
Suspension, License |
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Board Filings and/or Orders:
09/09/1994
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
Tricare for Life
Tricare Standard |
| Hospital Privileges: |
Reynolds Army Community Hospital
Fort Sill, OK
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