Jack Stout, CRNA

NPI #1104838234 in Mcallen, Texas

Provider Information

NPI Number
1104838234
Entity Type
Individual
Name
Jack Stout, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
222 E RIDGE RD
Address 2
SUITE 204
State
Texas
ZIP Code
78503-1251
Phone
(956) 632-6020

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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