Organization
THE HEART CLINIC, P.C.
Active
Organization
THE HEART CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN HAMWY MD (OWNER)
(918) 348-9715
Entity
Organization
Contact information
Practice address
3720 W BROADWAY ST, MUSKOGEE, OK 74401-2141
(918) 910-5301
(918) 910-5279
Mailing address
701 E DECATUR ST, BROKEN ARROW, OK 74011-3575
(918) 348-9715
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200041600A
—
OK
Enumeration date
10/29/2018
Last updated
07/16/2019
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