Individual
MR. DAVID EDWARD STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
121 N KENAZO AVE, HORIZON CITY, TX 79928-5407
(915) 852-2861
Mailing address
12614 KARI ANNE DR, EL PASO, TX 79928-1763
(915) 852-2861
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/09/2007
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