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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 7, 2024 4:48 AM CDT
Next Update: Tuesday, May 7, 2024 12:00 PM CDT

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IDEMUDIA, SMART OMOREGBEE
Practice Address: 200 W. SOUTHWEST PARKWAY
LEWISVILLE TX 75067-7769

Address last updated on 8/29/2023
Phone #: (972) 420-6777
Fax #: (972) 420-0656
County: NOT OKLAHOMA
License: 18234
Dated: 9/11/1992
Expires: 9/1/2024
Training Issued: 8/29/1991
Training Expires: 9/15/1992
License Type: Medical Doctor
Specialty: Internal Medicine
General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 8 / 1991
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
HealthChoice
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
200 W. SOUTHWEST PARKWAY
LEWISVILLE TX 75067-7769

Phone #: (972) 420-6777
Fax #: (972) 420-0656
Mon: 9:30AM - 4:30PM
Tue: 9:30AM - 4:30PM
Wed: 9:30AM - 4:30PM
Thu: 9:30AM - 4:30PM
Fri: 9:30AM - 12:30PM
Sat:
Sun:
Spanish

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