PALMER, BLAKE WILEY - Licensee Information

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Last Update: Tuesday, April 16, 2024 4:02 AM CDT
Next Update: Tuesday, April 16, 2024 12:00 PM CDT

PALMER, BLAKE WILEY

Practice Address:	COOK CHILDRENS GENITOURINARY INSTITUTE 750 8TH AVE 6TH FLOOR FORT WORTH TX 76104 Address last updated on 6/15/2021
Phone #:	(682) 303-0376
Fax #:
County:	NOT OKLAHOMA
License:	24580
Dated:	7/1/2007
Expires:	6/23/2022
License Type:	Medical Doctor
Specialty:	Pediatric Urology Urology Transplant Surgery

Status:	Inactive
Status Class:	Deceased
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	5 / 2005
CME Year:	2022

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:	AMERICAN BOARD OF UROLOGY AMERICAN BOARD OF UROLOGY - Pediatric Urology
New Patients:	No
Medicaid:	No
Medicare:	No

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health) BCE Emergis Beechstreet PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select Blue Works Workers Comp BlueChoice PPO BlueLincs HMO CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO CompMed Coventry Health Care National Network Dept of Rehabilitation Services (DRS) Evolutions Healthcare First Health Focus Healthcare Galaxy Health Network Global Health HMO Great West Healthcare Guidestar Health Systems Health Payors Organization (HPO) Health Smart Preferred Care (HSPC) HealthChoice Heartland Health Plan of Oklahoma Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO National Preferred Provider Network (NPPN) Oklahoma Health Network PPO One Health Plan PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc Perfect Harmony HMO PHCS (Private Healthcare Systems) Physicians Direct Network PPO Oklahoma PPO USA Preferred Community Choice Preferred Health Network-ppoNEXT Prime Advantage Health Plan Private Healthcare Systems (PHCS) Pronet Prudential Health Care Plan, Inc Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Sparks Premiercare Texas Medicaid Tricare for Life Tricare Standard Tyson Preferred Network (TPN) UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS United Insurance USA Managed Care Welcor/Sooner Worknet of Oklahoma
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
COOK CHILDRENS GENITOURINARY INSTITUTE 750 8TH AVE 6TH FLOOR FORT WORTH TX 76104 Phone #: (682) 303-0376 Fax #:

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