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FOSTER, TRAVIS ARNO       
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: 2002 12TH AVE N.W.
SUITE E
ARDMORE OK 73401
Phone #: (580) 223-3216
Fax #: (580) 223-4184
County: CARTER
License: 19374
Dated: 7/1/1995
Expires: 7/1/2006
License Type: Medical Doctor
Specialty: General Surgery
Vascular Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 5 / 1982
CME Year: 2006
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2002 12TH AVE N.W.
SUITE E
ARDMORE OK 73401

Phone #: (580) 223-3216
Fax #: (580) 223-4184

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