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Next Update: Monday, April 29, 2024 12:00 PM CDT

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MARTIN, TANYA DENISE
Practice Address: IN HIS IMAGE FAMILY PRACT RES
7600 SOUTH LEWIS
TULSA OK 74136
Phone #:
Fax #: (918) 493-7888
County: TULSA
License: 21034
Dated: 2/25/1999
Expires: 2/1/2002
Training Issued: 12/5/1997
Training Expires: 12/1/1999
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduated: 5 / 1997
CME Year: 2002
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:
IN HIS IMAGE FAMILY PRACT RES
7600 SOUTH LEWIS
TULSA OK 74136

Phone #:
Fax #: (918) 493-7888

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