HAGUE, SAMUEL LYLE - Licensee Information

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Last Update: Thursday, April 25, 2024 4:12 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

HAGUE, SAMUEL LYLE

Practice Address:	1009 WEST FERGUSON BLACKWELL OK 74631 Address last updated on 6/23/2023
Phone #:	(580) 363-0052
Fax #:	(580) 363-3089
County:	KAY
License:	22530
Dated:	7/16/2002
Expires:	7/1/2024
License Type:	Medical Doctor
Specialty:	Family Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	6 / 2001
CME Year:	2026

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:	None listed
Hospital Privileges:	INTEGRIS Blackwell Regional Hospital Blackwell, OK

Locations:	Hours:	Languages:
1009 WEST FERGUSON BLACKWELL OK 74631 Phone #: (580) 363-0052 Fax #: (580) 363-3089	Mon: 9:00AM - 5:00PM Tue: 9:00AM - 5:00PM Wed: 9:00AM - 5:00PM Thu: 9:00AM - 5:00PM Fri: 9:00AM - 12:00PM Sat: Sun:
2101 N 14th Suite 114 Ponca City, OK 74601 Phone #: (580) 762-1552 Fax #: (8) 200-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
1909 W 6th Suite B Stillwater, OK 74074 Phone #: (405) 385-0029 Fax #: (2) 200-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
PARNELL RAY ADAMS	PA	798
BRITTANY BEIER	APRN	1690
GEOFFREY MICHAEL BLAIR	PA	2450
DAWN BROWN	APRN	78425
KELSEY B BURNETT	PA	2382
CALEB JOSIAH COUCH	PA	5161
MARY KAY DAUGHERTY	PA	4776
ZACKERY RYAN DEVINE	PA	4394
SHANNA DOUGLASS	APRN	79263
KASSIDY RENEE HAMILTON	PA	3221
TAILOR SUELYNN HASTINGS	PA	4935
LESLEY KATHRYN PIPKINS	PA	1327