JACK STOUT

MCALLEN, TX
NPI1104838234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  229533)
Enumeration Date2006-08-13
Last Update Date2007-07-08
Business Address
-- JACK STOUT CRNA
222 E RIDGE RD SUITE 204
MCALLEN, TX 78503-1251
Phone number: 956-632-6020
Mailing Address
-- JACK STOUT CRNA
PO BOX 1672
SAN ANTONIO, TX 78296-1672
Phone number: 956-632-6020
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