| Healthy Horizons Psychiatry | |
|
5505 N Mesa St El Paso TX 79912-5422 | |
| (915) 350-3400 | |
| Not Available |
| Full Name | Healthy Horizons Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5505 N Mesa St, El Paso, Texas |
| Authorized Official Name and Position | Mustafa Moazam (CEO) |
| Authorized Official Contact | 9157779075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Horizons Psychiatry 7106 Spencer Hwy Pasadena TX 77505-1806 Ph: () - | Healthy Horizons Psychiatry 5505 N Mesa St El Paso TX 79912-5422 Ph: (915) 350-3400 |
| NPI Number | 1639998453 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 04/09/2025 |
| Certification Date | 04/09/2025 |
| Medicare PECOS PAC ID | 3678001336 |
|---|---|
| Medicare Enrollment ID | O20250108001933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639998453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mustafa Mohammed Moazam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306987474 PECOS PAC ID: 0648329755 Enrollment ID: I20101005000250 |
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