Provider Demographics
NPI:1639490089
Name:HOUSER, KUY (MD)
Entity Type:Individual
Prefix:
First Name:KUY
Middle Name:
Last Name:HOUSER
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 1:4007 VICTORIA AVE.
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2800 S TEXAS AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-5361
Practice Address - Country:US
Practice Address - Phone:979-774-2060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10038206207Q00000X
TXP6978207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine