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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 5:09 PM CDT
Next Update: Wednesday, May 8, 2024 2:50 AM CDT

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SQUIRES, JASON SCOTT
Practice Address: TEXOMACARE DURANT
698 WESTSIDE DR
SUITE 110
DURANT OK 74701-3085

Address last updated on 2/26/2024
Phone #: (580) 920-1922
Fax #: (580) 920-1923
County: BRYAN
License: 1034
Dated: 3/8/2000
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
TEXOMACARE DURANT
698 WESTSIDE DR
SUITE 110
DURANT OK 74701-3085

Phone #: (580) 920-1922
Fax #: (580) 920-1923

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHANNON GOODWIN CHAMBERS MD 20525
Ely Reuben Gordon DO 6292
MONICA WOODALL DO 4972

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