Individual
DR. KEITH B STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3480 COLLEGE ST, BEAUMONT, TX 77701-4612
(409) 813-1677
(409) 730-1399
Mailing address
3480 COLLEGE ST, BEAUMONT, TX 77701-4612
(409) 813-1677
(409) 730-1399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E9428
TX
208D00000X
General Practice Physician
Primary
E9428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137850712
—
TX
Enumeration date
05/31/2005
Last updated
01/19/2016
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