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Oklahoma Board of Medical Licensure and Supervision

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MATTHEWS, JACQUIN PREWITT
Practice Address: 1307 EIGHTH AVENUE
SUITE 410
FORT WORTH TX 76104
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 17479
Dated: 9/27/1990
Expires: 6/30/1994
Training Issued: 12/28/1989
Training Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 1989
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1307 EIGHTH AVENUE
SUITE 410
FORT WORTH TX 76104

Phone #:
Fax #:

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