Dr. Keith B Stout
Family Doctor General Practice Physician
3480 College St
Beaumont
, Texas 77701-4612
Dr. Keith B Stout
Family Doctor General Practice Physician
3480 College St
Beaumont
, Texas 77701-4612
(409) 730-1399
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About
Features
Specialties
- Family Doctor
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Keith B Stout
- 3480 College St
- Beaumont, TX
- Zip : 77701-4612
- Fax : (409) 730-1399
- Phone : (409) 813-1677
Second Address
- Dr. Keith B Stout
- 3480 College St
- Beaumont, TX
- Zip : 77701-4612
- Fax : (409) 730-1399
- Phone : (409) 813-1677
Reviews
FAQs
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What type of doctor is Dr. Keith B Stout
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Is Dr. Keith B Stout a sole practitioner?
Is Dr. Keith B Stout accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | E9428 | TX |
| Y | 208D00000X | General Practice Physician | E9428 | TX |
National Provider Identifier
| NPI | 1053314393 |
|---|---|
| Provider Name | Dr. Keith B Stout |
| First Address | Beaumont, TX 77701-4612 |
| Second Address | Beaumont, TX 77701-4612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 19/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 137850712 | (05) | TX |
| C22329 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.