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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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GRAHAM, TREVA JO       
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: 1002 NE HWY 66
STE. 2
SAYRE OK 73662

Address last updated on 9/29/2016
Phone #: (580) 928-2208
Fax #: (580) 928-2246
County: BECKHAM
License: 21811
Dated: 10/4/2000
Expires: 10/1/2025
Training Issued: 7/1/1999
Training Expires: 7/1/2001
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1999
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Great Plains Regional Medical Center
Elk City, OK
Roger Mills Memorial Hospital
Cheyenne, OK
Locations: Hours: Languages:
1002 NE HWY 66
STE. 2
SAYRE OK 73662

Phone #: (580) 928-2208
Fax #: (580) 928-2246
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri:
Sat:
Sun: 8:00AM - 5:00PM
Buster Clinic
PO Box 490
Cheyenne, OK 73628

Phone #: (580) 497-3333
Fax #: (5) 200-
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
REBECCA RUTH ALDAVA PA 1158
LYNDA DIANNE BENTLEY PA 912
FRANKI BUCKNER APRN 10111

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