NPI | 1003465915 |
---|---|
Doing Business As | HEALTHY HORIZONS CLINIC |
Entity Type | Organization |
Authorized Contact | MUSTAFA MOHAMMED MOAZAM Medical Director 918-691-9129 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
Enumeration Date | 2019-09-04 |
Last Update Date | 2019-09-04 |