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SAM, SIBY
Practice Address: 1600 11TH STREET
WICHITA FALLS TX 76301

Address last updated on 10/29/2014
Phone #: (940) 764-7000
Fax #:
County: NOT OKLAHOMA
License: 27086
Dated: 11/1/2012
Expires: 11/1/2015
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Sri Ramachandra Med Coll, Dr M G R Med Univ, Madras, TN, India
Graduated: 12 / 2002
CME Year: 2015
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
1600 11TH STREET
WICHITA FALLS TX 76301

Phone #: (940) 764-7000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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