Keith B Stout M. D.

NPI 1053314393 - Family Medicine - 207Q00000X

NPI Details
NPI 1053314393
Gender Male
Enumeration Date 05/31/2005
Last Updated 01/19/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
3480 COLLEGE ST
BEAUMONT TX, 77701-4612, US
Phone (409) 813-1677
Fax (409) 730-1399
Business Location
3480 COLLEGE ST
BEAUMONT TX, 77701-4612, US
Phone (409) 813-1677
Fax (409) 839-3174
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number E9428
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According to our database, Dr. Keith B Stout M. D. NPI is 1053314393, taxonomy code is 207Q00000X and license number is E9428, license state is located at Texas. Keith B Stout M. D. physically located at 3480 College St, Beaumont TX, 77701-4612. NPI Number Keith B Stout M. D. has the Individual type.

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1053314393 NPI number is provided on an as is basis without warranty of any kind. 1053314393 is maintained by the National Plan & Provider Enumeration System. The contents of Keith B Stout M. D. are for informational purposes only.