Healthcare Provider Details

I. General information

NPI: 1003735267
Provider Name (Legal Business Name): HEALTHY HORIZONS COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 W 100TH AVE STE 102
THORNTON CO
80260-5982
US

IV. Provider business mailing address

7106 SPENCER HWY
PASADENA TX
77505-1806
US

V. Phone/Fax

Practice location:
  • Phone: 708-575-0020
  • Fax: 888-355-5699
Mailing address:
  • Phone: 915-777-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MUSTAFA MOAZAM
Title or Position: OWNER, MD
Credential: MD
Phone: 918-691-9129