Organization
MOAZAM PA
Active
Other names
Healthy horizons Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA MOHAMMED MOAZAM M.D. (MEDICAL DIRECTOR)
(918) 691-9129
Entity
Organization
Contact information
Practice address
1700 W 100TH AVE STE 100, THORNTON, CO 80260-5982
(915) 852-3225
Mailing address
14470 HORIZON BLVD, STE J, HORIZON CITY, TX 79928-7695
(915) 852-3225
(915) 209-8289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Q3405
TX
207R00000X
Internal Medicine Physician
Primary
N6499
TX
208000000X
Pediatrics Physician
N6499
TX
2080P0207X
Pediatric Hematology & Oncology Physician
N6499
TX
Other
Enumeration date
12/12/2011
Last updated
07/18/2022
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