Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, October 31, 2024 6:52 PM CDT
Next Update: Friday, November 1, 2024 2:50 AM CDT

Return to Search Licensees page

RUSSELL, THOMAS RYAN       
Practice Address: OKLAHOMA CITY CLINIC
701 NE 10TH STREET
OKLAHOMA CITY OK 73104-5400

Address last updated on 4/22/2014
Phone #: (405) 280-5550
Fax #: (405) 280-5230
County: OKLAHOMA
License: 8452
Dated: 6/16/1965
Expires: 3/22/2015
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1965
CME Year: 2016
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 - Cardiovascular Disease
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: BlueChoice PPO
BlueLincs HMO
PacifiCare of Oklahoma, Inc
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA CITY CLINIC
701 NE 10TH STREET
OKLAHOMA CITY OK 73104-5400

Phone #: (405) 280-5550
Fax #: (405) 280-5230

Return to Search Licensees page