Individual
DR. JASON HUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
60 249948
NY
207ZN0500X
Neuropathology Physician
Primary
Q9380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364117701
—
TX
01
—
364117702
MEDICAID CSHCN
TX
01
—
8GJ021
BCBS
TX
Enumeration date
09/03/2008
Last updated
12/02/2020
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