Provider Demographics
NPI:1275617557
Name:HAUSER, HARRIS MIL;TON (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRIS
Middle Name:MIL;TON
Last Name:HAUSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 WEST LOOP S STE 600
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2425
Mailing Address - Country:US
Mailing Address - Phone:713-776-0501
Mailing Address - Fax:713-774-0811
Practice Address - Street 1:5959 WEST LOOP S STE 600
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2425
Practice Address - Country:US
Practice Address - Phone:713-776-0501
Practice Address - Fax:713-774-0811
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC5082174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0037LYOtherBLUE CROSS BLUE SHIELD
TX174372601Medicaid
TX4010475OtherAETNA
TX2223352OtherBCBS BLUE LINK
TX04804550319OtherAMS
TX2932657OtherCIGNA
TX4010475OtherAETNA
TX8B8398Medicare PIN
TX174372601Medicaid
TX0037LYOtherBLUE CROSS BLUE SHIELD