Provider Demographics
NPI:1013173137
Name:HAUSER, FREDERICK ALLEN JR (DO MPH)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:ALLEN
Last Name:HAUSER
Suffix:JR
Gender:M
Credentials:DO MPH
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Other - Credentials:
Mailing Address - Street 1:OCCUPATIONAL HEALTH FACILITY
Mailing Address - Street 2:BUILDING M6-495 MAIL CODE NEM-005
Mailing Address - City:KENNEDY SPACE CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:32899
Mailing Address - Country:US
Mailing Address - Phone:321-867-2025
Mailing Address - Fax:321-867-2040
Practice Address - Street 1:OCCUPATIONAL HEALTH FACILITY
Practice Address - Street 2:BUILDING M6-495, MAIL CODE NEM-005
Practice Address - City:KENNEDY SPACE CENTER
Practice Address - State:FL
Practice Address - Zip Code:32899
Practice Address - Country:US
Practice Address - Phone:321-867-2025
Practice Address - Fax:321-867-2040
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA634652083A0100X, 2083X0100X, 208D00000X
FLOS177062083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice