Organization
BRYCE LEE STOUT, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA R GUITREAU (AGENT)
(214) 382-1909
Entity
Organization
Contact information
Practice address
5445 LA SIERRA DR, SUITE 410, DALLAS, TX 75231-4139
(214) 382-1909
(214) 382-1903
Mailing address
5445 LA SIERRA DR, SUITE 410, DALLAS, TX 75231-4139
(214) 382-1909
(214) 382-1903
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G0638
TX
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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