GREENWELL, MARK WILLIAM - Licensee Information

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Last Update: Thursday, May 16, 2024 9:35 AM CDT
Next Update: Thursday, May 16, 2024 12:00 PM CDT

GREENWELL, MARK WILLIAM

Practice Address:	THE CENTERS FOR KIDNEY CARE 1104 E LINCOLN RD IDABEL OK 74745 Address last updated on 9/5/2023
Phone #:	(903) 785-3300
Fax #:	(903) 785-3310
County:	MCCURTAIN
License:	29498
Dated:	10/30/2012
Expires:	10/1/2024
License Type:	Medical Doctor
Specialty:	Nephrology Internal Medicine

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ of TX Med Sch at Houston, Houston Tx 77225
Graduated:	6 / 1999
CME Year:	2024

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 INTERNAL MEDICINE AMERICAN BOARD OF INTERNAL MEDICINE - Nephrology
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO CIGNA PPO First Health HealthChoice Multiplan PPO SoonerCare HMO SoonerCare PPO Texas Medicaid United Healthcare EPO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	Paris Regional Medical Center Paris, TX

Locations:	Hours:	Languages:
THE CENTERS FOR KIDNEY CARE 1104 E LINCOLN RD IDABEL OK 74745 Phone #: (903) 785-3300 Fax #: (903) 785-3310	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
635 Stone Avenue Paris, TX 75460 Phone #: (903) 785-3300 Fax #: (8) 201-	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 12:00PM Sat: Closed Sun: Closed

Name:	Type:	License Number:
Primary Supervisees(s):
TANGANYIKA DUDLEY	APRN	132422
NIKKI JOHNSTON	APRN	80235