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WHITE, TRAVIS ALBERT       
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: 8204 CHICAGO AVENUE
LUBBOCK TX 79424-3418

Address last updated on 6/16/2006
Phone #: (806) 783-0448
Fax #:
County: NOT OKLAHOMA
License: 15944
Dated: 10/20/1986
Expires: 10/1/2006
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 5 / 1960
CME Year: 2009
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
8204 CHICAGO AVENUE
LUBBOCK TX 79424-3418

Phone #: (806) 783-0448
Fax #:

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