Individual
KATELYN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 WAUGH DR STE 101, HOUSTON, TX 77019-2013
(832) 924-6800
Mailing address
810 WAUGH DR STE 101, HOUSTON, TX 77019-2013
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
920114
TX
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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