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Oklahoma Board of Medical Licensure and Supervision

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AVERY, BERT MILLS       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 4506 KEMP BLVD
WICHITA FALLS TX 76308
Phone #:
Fax #: (940) 699-3068
County: NOT OKLAHOMA
License: 11216
Dated: 6/30/1977
Expires: 1/31/2002
License Type: Medical Doctor
Specialty: Gynecology
Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1976
CME Year: 2004
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
05/15/1997
11/19/1994
02/11/1994
05/14/1993
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4506 KEMP BLVD
WICHITA FALLS TX 76308

Phone #:
Fax #: (940) 699-3068

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