Individual
JONATHAN KOUTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 747-6741
Mailing address
DEPARTMENT OF EMERGENCY 3601 4TH STREET, LUBBOCK, TX 79430-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
V5792
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/15/2022
Last updated
06/18/2025
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