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Dr. Keith B Stout, MD
General Practice Physician in Beaumont, Texas
NPI 1053314393

Keith B Stout is a General Practice Physician based in Beaumont, TX. Keith B Stout practices in Beaumont, TX and has the professional credentials of MD. The NPI Number for Keith B Stout is 1053314393 and holds a License No. E9428 (Texas).

The current practice location address for Keith B Stout is 3480 College St, Beaumont, TX and can be reached out via phone at 409-813-1677 and via fax at 409-730-1399.

Location: 3480 College St, Beaumont, TX, 77701-4612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053314393
Provider Name
Keith B Stout
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3480 College St, Beaumont, TX, 77701-4612
Phone Number
409-813-1677
Fax Number
409-730-1399
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
137850712 05 TX
institution
Provider Business Practice Location Address Details
Address
3480 College St
City
Beaumont
State
Texas
Zip
77701-4612
Phone Number
409-813-1677
Fax Number
409-730-1399
person
Provider Business Mailing Address Details
Address
3480 College St
City
Beaumont
State
Texas
Zip
77701-4612
Phone Number
409-813-1677
Fax Number
409-730-1399
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
E9428 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
E9428 (Texas)
Definition
Definition to come...
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