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Next Update: Thursday, May 2, 2024 2:50 AM CDT
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|
MALLETT MOORE, TAMALA ROCHELLE |
| Practice Address: |
3739 LEGACY STREET
WEATHERFORD OK 73096
Address last updated on 10/12/2011 |
| Phone #: |
(580) 772-2400 |
| Fax #: |
(580) 772-2408 |
| County: |
CUSTER |
| License: |
26755 |
| Dated: |
11/13/2008 |
| Expires: |
11/1/2012 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
YES |
| Medical School: |
Wright St Univ Boonshoft SOM, Dayton OH |
| Graduated: |
7 /
1998 |
| CME Year: |
2014 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
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
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
First Health
Great West Healthcare
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Physicians Direct Network
Preferred Community Choice
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
USA Managed Care |
| Hospital Privileges: |
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK
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| Locations: |
Hours: |
Languages: |
3739 LEGACY STREET
WEATHERFORD OK 73096
Phone #:
(580) 772-2400
Fax #:
(580) 772-2408 |
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 12:30PM
Sat:
Sun: |
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