Individual
THOMAS J HAUSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 WHITEHOUSE CANYON RD, GREEN VALLEY, AZ 85614
(520) 625-3691
(520) 625-2894
Mailing address
81 W ESPERANZA BLVD, STE 201, GREEN VALLEY, AZ 85614-2667
(520) 615-4401
(520) 625-8504
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14547
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820705
—
AZ
Enumeration date
11/17/2005
Last updated
02/20/2012
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