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NPI Code Detail

MEDICARE: HEALTHY HORIZONS PSYCHIATRY PC

MEDICARE: HEALTHY HORIZONS PSYCHIATRY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry Physician
22084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1639998453
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY HORIZONS PSYCHIATRY PC
Provider Business Mailing Address
First Line : 7106 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77505-1806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5505 N MESA ST
Second Line :
City : EL PASO
State : TX
Zip : 79912-5422
Country : US
Telephone Number : 915-350-3400
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. MUSTAFA MOAZAM
Credential : MD
Telephone Number : 915-777-9075
Provider Enumeration Date : 10/08/2024
Last Update Date : 12/09/2025

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