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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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DAVIS, WILSON LLOYD JR.
Practice Address: FAMILY HEALTH CLINIC OF SOUTHERN OKLAHOMA
610 E. 24TH STREET
TISHOMINGO OK 76034

Address last updated on 12/26/2022
Phone #: (580) 371-2343 x3368
Fax #: (580) 371-3170
County: JOHNSTON
License: 34304
Dated: 1/10/2019
Expires: 1/1/2025
Temp. Lic. Issued: 11/1/2018
Temp. Lic. Expires: 1/17/2019
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ of IA Roy J & L Carver COM, Iowa City, IA 52242
Graduated: 5 / 1978
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.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
FAMILY HEALTH CLINIC OF SOUTHERN OKLAHOMA
610 E. 24TH STREET
TISHOMINGO OK 76034

Phone #: (580) 371-2343 x3368
Fax #: (580) 371-3170
Mon: 7:30AM - 6:00PM
Tue: 7:30AM - 6:00PM
Wed: 7:30AM - 6:00PM
Thu: 7:30AM - 6:00PM
Fri:
Sat:
Sun: 7:30AM - 6:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RELINDA BLACK APRN 96629
LARRY LEON BURNS PA 2416
RALPH TILLMAN FALCONER PA 670
JESSICA PICKENS APRN 96230
LINDA RICHARDSON APRN 4266
KATRISHA TONEY APRN 11352
HEATHER WORKMAN APRN 76690

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