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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 #: |
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County: |
NOT OKLAHOMA |
License: |
27086 |
Dated: |
11/1/2012 |
Expires: |
11/1/2015 |
License Type: |
Medical Doctor |
Specialty: |
Family Medicine |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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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 |
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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.
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Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Hospital(s) Not In Oklahoma
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