Provider Demographics
NPI:1649823303
Name:ROBIN L HOUSER LLC
Entity type:Organization
Organization Name:ROBIN L HOUSER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER & OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:402-522-6191
Mailing Address - Street 1:11725 ARBOR ST STE 210
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2974
Mailing Address - Country:US
Mailing Address - Phone:402-522-6191
Mailing Address - Fax:402-333-0860
Practice Address - Street 1:11725 ARBOR ST STE 210
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2974
Practice Address - Country:US
Practice Address - Phone:402-522-6191
Practice Address - Fax:402-333-0860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
12537223OtherCAQH