Individual
KENDALL DEAN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8376 MOJAVE TRL, FORT WORTH, TX 76116-3638
(682) 628-2531
(682) 499-9350
Mailing address
8376 MOJAVE TRL, FORT WORTH, TX 76116-3638
(682) 628-2531
(682) 499-9350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8700TG
TX
Other
Enumeration date
06/12/2015
Last updated
07/20/2023
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