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Oklahoma Board of Medical Licensure and Supervision

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SPARKS, TOM CHARLES JR       
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: 301 COUNTRY CLUB RD
ARDMORE OK 73401
Phone #:
Fax #:
County: CARTER
License: 6390
Dated: 5/16/1953
Expires: 6/30/1995
License Type: Medical Doctor
Specialty: Other Specialty
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: / 1945
CME Year:
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
301 COUNTRY CLUB RD
ARDMORE OK 73401

Phone #:
Fax #:

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