NPI | 1699043166 |
---|---|
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 (Licence: TX N6499) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q3405) |
208000000X Pediatrics (Licence: TX N6499) | |
2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX N6499) | |
Enumeration Date | 2011-12-12 |
Last Update Date | 2022-07-18 |