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MOOSSAVI, NAZANIN       
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: WICHITA FALLS FAMILY PRACTICE RESIDENCY
1301 THIRD STREET SUITE 200
WICHITA FALLS TX 76301

Address last updated on 6/5/2014
Phone #: (940) 767-8334
Fax #:
County: NOT OKLAHOMA
License: 28458
Dated: 7/1/2013
Expires: 7/1/2015
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Shahid Beheshti Univ of Med Sci, Fac of Med, Tehran, Iran
Graduated: 1 / 1990
CME Year: 2016
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WICHITA FALLS FAMILY PRACTICE RESIDENCY
1301 THIRD STREET SUITE 200
WICHITA FALLS TX 76301

Phone #: (940) 767-8334
Fax #:

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