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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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HICKS, DAVID REESE       
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: RETIRED
4324 S BIRMINGHAM AVE
TULSA OK 74105-4348

Address last updated on 11/3/2022
Phone #: (918) 629-6572
Fax #: (918) 494-9277
County: TULSA
License: 14047
Dated: 12/1/1982
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Orthopedic Surgery of the Spine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 5 / 1977
CME Year: 2027
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 ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
RETIRED
4324 S BIRMINGHAM AVE
TULSA OK 74105-4348

Phone #: (918) 629-6572
Fax #: (918) 494-9277
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
THOMAS WACO BASSHAM PA 1371
CLINTON DREW CATOR PA 2255
JORDAN MICHAEL MCAULIFF PA 1315
RICHARD LEE MEARS PA 2233

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