Provider Demographics
NPI:1912182288
Name:HARRIS M. HAUSER, M.D.,P.A.
Entity Type:Organization
Organization Name:HARRIS M. HAUSER, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIS
Authorized Official - Middle Name:MILTON
Authorized Official - Last Name:HAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-776-0501
Mailing Address - Street 1:5959 WEST LOOP SOUTH
Mailing Address - Street 2:SUITE 400
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:713-838-8041
Practice Address - Street 1:5959 WEST LOOP SOUTH
Practice Address - Street 2:SUITE 400
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:713-838-8041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC-5082174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX04804550319OtherAMS
TX4010475OtherAETNA
TX0037LYOtherBCBS
TX174372601Medicaid
TX4010475OtherAETNA
TX0037LYOtherBCBS