Individual
MR. HOBIN ROY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2742 EDGEWOOD LN, LAKE CHARLES, LA 70605-1008
(337) 480-9554
Mailing address
2742 EDGEWOOD LN, LAKE CHARLES, LA 70605-1008
(337) 480-9554
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
726211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912693
—
TX
Enumeration date
07/25/2006
Last updated
08/25/2008
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