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Organization
MOAZAM PA
Active
Organization
MOAZAM PA
Active
Other names
Healthy Horizons Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA MOHAMMED MOAZAM (MEDICAL DIRECTOR)
(918) 691-9129
Entity
Organization
Contact information
Practice address
7106 SPENCER HWY, PASADENA, TX 77505-1806
(918) 691-9129
Mailing address
7106 SPENCER HWY, PASADENA, TX 77505-1806
(918) 691-9129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298010404
—
TX
Enumeration date
09/04/2019
Last updated
09/04/2019
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