Search Results
Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT
Return to Search Licensees page
|
JACK, RANDALL ELLIS |
| Practice Address: |
310 NORTHCREST DRIVE
SPRINGFIELD TN 37172
Address last updated on 8/13/2004 |
| Phone #: |
(615) 384-4496 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
23099 |
| Dated: |
7/1/2002 |
| Expires: |
7/1/2004 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Nv Sch Of Med, Reno Nv 89557 |
| Graduated: |
5 /
2000 |
| CME Year: |
2005 |
|
|
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: |
BlueChoice PPO
Preferred Community Choice
Welcor/Sooner |
| Hospital Privileges: |
OU Medical Center
Oklahoma City, OK
|
|
| Locations: |
Hours: |
Languages: |
310 NORTHCREST DRIVE
SPRINGFIELD TN 37172
Phone #:
(615) 384-4496
Fax #:
|
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 |
Spanish |
|
|
|
Return to Search Licensees page
