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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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GASKILL, TRAVIS FALLON       
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: OU MEDICAL CENTER
700 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 12/22/2024
Phone #: (405) 271-4700
Fax #:
County: OKLAHOMA
License: 5277
Dated: 4/24/2024
Expires: 3/31/2025
Temp. Ltr. Issued: 3/28/2024
Temp. Ltr. Expires: 5/16/2024
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
OU MEDICAL CENTER
700 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4700
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ELI JOHNATHAN BECKER MD 34407
SCOTT K LUCAS MD 11551
DAVID WADE VANHOOSER MD 14368

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