MOAZAM PA
Medical Practice at Horizon Blvd, El Paso, TX

License number
Texas Q3405
Category
Osteopathic Medicine
Type
Family Medicine
License number
Texas N6499
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Texas N6499
Category
Medical Practice
Type
Pediatrics
License number
Texas N6499
Category
Medical Practice
Type
Pediatric Hematology-Oncology
Owner
Name: DR. MUSTAFA MOHAMMED MOAZAM M.D.
Title: MEDICAL DIRECTOR
Phone: (918) 691-9129
Address
Address
14470 Horizon Blvd STE J, El Paso, TX 79928
National Provider ID: 1699043166
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOAZAM PA at bizstanding.com

MOAZAM PA

536 Satelite Dr, El Paso, TX 79912

Doing business as:
Moazam PA
Registration:
Jan 27, 2011
State ID:
0801375179
Business type:
Professional Association
Director, Member, President:
Mustafa M. Moazam (Director, Member, President)
Agent:
Mustafa Moazam,536 Satelite Dr, El Paso, TX 79912 (Physical)
TIN:
32043490609

Medical Practice licenses in Texas










Other Doctors licenses in Texas