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GOSSETT, CARL WAYNE       
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: 915 GOFORTH RD
FT WORTH TX 76126

Address last updated on 7/24/2018
Phone #: (443) 361-2 x817
Fax #: (817) 443-3619
County: NOT OKLAHOMA
License: 14474
Dated: 8/22/1983
Expires: 8/1/2016
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 6 / 1982
CME Year: 2017
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
915 GOFORTH RD
FT WORTH TX 76126

Phone #: (443) 361-2 x817
Fax #: (817) 443-3619
Mon: I ONLY WORK LOCUMS TENENS AT
Tue: THIS TIME
Wed: XXX
Thu: XXX
Fri: XXX
Sat: XXX
Sun: XXX

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