Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

RICHARDSON, WILLIAM POLK       
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: 1723 N WASHINGTON AVE
DURANT OK 74701-2117

Address last updated on 8/3/2017
Phone #: (903) 714-1879
Fax #:
County: BRYAN
License: 23609
Dated: 9/11/2003
Expires: 6/1/2018
Temp. Lic. Issued: 7/2/2003
Temp. Lic. Expires: 9/14/2003
License Type: Medical Doctor
Specialty: General Surgery
Vascular Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduated: 6 / 1969
CME Year: 2018
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
1723 N WASHINGTON AVE
DURANT OK 74701-2117

Phone #: (903) 714-1879
Fax #:

Return to Search Licensees page