Healthcare Provider Details

I. General information

NPI: 1215863147
Provider Name (Legal Business Name): HORIZON VIRTUAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 LACEY ST
CAPE GIRARDEAU MO
63701-5230
US

IV. Provider business mailing address

5798 OAK RIDGE WAY
LISLE IL
60532-0425
US

V. Phone/Fax

Practice location:
  • Phone: 573-331-6431
  • Fax:
Mailing address:
  • Phone: 405-370-3629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD ANAS FAROOQ
Title or Position: PHYSICIAN
Credential: MD
Phone: 405-370-3629