Keith B Stout is a General Practice in Beaumont, Texas. Keith B Stout practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keith B Stout is 1053314393. The last update date is 2016-01-19.
Keith B Stout's current location address is 3480 College St, Beaumont, Texas. You can contact this provider via phone number 4098131677 and fax number 4097301399. The mailing address for Keith B Stout is 3480 College St, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith B Stout |
|---|---|
| Address | 3480 College St, Beaumont, Texas |
| Phone Number | 4098131677 |
| Fax Number | 4097301399 |
| Sole Proprietor | N |
| Credentials | M. D. |
NPI Number Detail
| NPI Number | 1053314393 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2016-01-19 |
Provider Mailing Address Detail
| Address | 3480 College St |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 7770146120 |
| Phone Number | 4098131677 |
| Fax Number | 4097301399 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | E9428 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 137850712 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Keith B Stout by the Centers for Medicare & Medicaid Services?
The Keith B Stout has been issued the NPI (National Provider Identifier) 1053314393. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Keith B Stout's facilities are situated?
The facilities of Keith B Stout are physically located at the following address: 3480 College St, Beaumont, TX, 7770146120.
What is Keith B Stout's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Keith B Stout is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date did Keith B Stout receive its 1053314393 assignment from the Centers for Medicare & Medicaid Services?
The Keith B Stout was assigned its 1053314393 on 2005-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Keith B Stout's information last updated?
The Keith B Stout's information was last updated on 2016-01-19.