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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, May 18, 2024 4:08 AM CDT
Next Update: Saturday, May 18, 2024 12:00 PM CDT

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BLACKMON, MICHAEL BENDELE       
Practice Address: 421 CONIFER LN
ALLEN TX 75013

Address last updated on 6/21/2023
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 35117
Dated: 8/27/2019
Expires: 8/1/2024
Temp. Lic. Issued: 8/9/2019
Temp. Lic. Expires: 9/12/2019
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 1995
CME Year: 2025
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 - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
421 CONIFER LN
ALLEN TX 75013

Phone #:
Fax #:
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NIDISH JOSE APRN 2128

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