# MUDASSIR NAWAZ M.D. CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952718140
- **Authorized official:** TERRI HERRIAN NP (NURSE PRACTITIONER)
- **Authorized official phone:** (405) 321-1004

## Contact information

- **Practice address:** 500 E ROBINSON ST, SUITE 800, NORMAN, OK 73071-6697
- **Practice address phone:** (405) 321-1004
- **Practice address fax:** (405) 321-1074
- **Mailing address:** 500 E ROBINSON ST, SUITE 800, NORMAN, OK 73071-6697
- **Mailing address phone:** (405) 321-1004
- **Mailing address fax:** (405) 321-1074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 79034 | OK | Yes |

## Other

- **Enumeration date:** 07/19/2014
- **Last updated:** 07/19/2014