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Timothy Ray Stout
Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma
NPI 1174307250

Timothy Ray Stout is a Student in an Organized Health Care Education/Training Program based in Tulsa, OK. Timothy Ray Stout practices in Tulsa, OK. The NPI Number for Timothy Ray Stout is 1174307250 and holds a License No. (Oklahoma).

The current practice location address for Timothy Ray Stout is 9119 S 90Th East Ave, Tulsa, OK and can be reached out via phone at 918-693-0161.

Location: 9119 S 90Th East Ave, Tulsa, OK, 74133-5607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174307250
Provider Name
Timothy Ray Stout
Credential
Provider Entity Type
Individual
Gender
Male
Address
9119 S 90Th East Ave, Tulsa, OK, 74133-5607
Phone Number
918-693-0161
Fax Number
Provider Enumeration Date
08/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9119 S 90Th East Ave
City
Tulsa
State
Oklahoma
Zip
74133-5607
Phone Number
918-693-0161
Fax Number
person
Provider Business Mailing Address Details
Address
9119 S 90Th East Ave
City
Tulsa
State
Oklahoma
Zip
74133-5607
Phone Number
918-693-0161
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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