HICKS, ANTON TERRELL - Licensee Information

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

HICKS, ANTON TERRELL

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:	ST MARY'S REGIONAL HOSPITAL 305 S 5TH ST ENID OK 73701 Address last updated on 3/22/2024
Phone #:	(580) 233-6100
Fax #:
County:	GARFIELD
License:	4906
Dated:	4/1/2023
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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.

Locations:	Hours:	Languages:
ST MARY'S REGIONAL HOSPITAL 305 S 5TH ST ENID OK 73701 Phone #: (580) 233-6100 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
Corey Brown	DO	7950
CARY LEE CARPENTER	MD	18237
Carolina Wales	DO	5833

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