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Oklahoma Board of Medical Licensure and Supervision

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DIXON, THOMAS ANDREW       
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: 506 N. CUSTER
P.O. BOX 625
WEATHERFORD OK 73096

Address last updated on 7/1/2010
Phone #: (580) 772-6013
Fax #: (580) 772-5816
County: CUSTER
License: 11395
Dated: 7/16/1977
Expires: 7/1/2010
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1976
CME Year: 2012
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/17/2000 Probation Ended
11/17/1995 Probation
5/14/1994 Revoked License
Board Filings and/or Orders:
11/17/1995
05/14/1994
04/05/1994
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: HealthChoice
Tricare for Life
Hospital Privileges: None listed
Locations: Hours: Languages:
506 N. CUSTER
P.O. BOX 625
WEATHERFORD OK 73096

Phone #: (580) 772-6013
Fax #: (580) 772-5816
Mon: 8:00AM - 4:30PM 12:00-12:30 LUNCH
Tue: 8:00AM - 4:30PM 12:00-12:30 LUNCH
Wed: 8:00AM - 4:30PM 12:00-12:30 LUNCH
Thu: 8:00AM - 4:30PM 12:00-12:30 LUNCH
Fri: CLOSED ON FRIDAY
Sat: CLOSED ON SATURDAY
Sun: CLOSED ON SUNDAY

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