Individual
ANN ULMER STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H0854
TX
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
H0854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180041720
RAILROAD MEDICARE
—
05
—
288189
—
OR
Enumeration date
05/18/2006
Last updated
04/19/2020
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