MEDICARE: ROBERT LARUE HOUSER P.A.-C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	MA051844	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50068246	OTHER		CAPITAL BLUE CROSS/KHPC
2	1958636	OTHER		HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1326046574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT LARUE HOUSER P.A.-C.

Provider Business Mailing Address
First Line	:	590 MEDICAL CENTER ROAD
Second Line	:
City	:	FORT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:
Fax Number	:	254-288-8888

Provider Business Practice Location Address
First Line	:	590 MEDICAL CENTER ROAD
Second Line	:
City	:	FORT HOOD
State	:	TX
Zip	:	76544
Country	:	US
Telephone Number	:	254-288-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	11/13/2025

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