MR. David Edward Stout, OPTICIAN
NPI #1619190709 in Horizon City, Texas
Provider Information
- NPI Number
- 1619190709
- Entity Type
- Individual
- Name
- MR. David Edward Stout, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 121 N KENAZO AVE
- City
- Horizon City
- State
- Texas
- ZIP Code
- 79928-5407
- Phone
- (915) 852-2861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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