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1306250253
JONATHAN STOUT
SAN ANTONIO, TX
NPI
1306250253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX S0230)
Enumeration Date
2014-06-19
Last Update Date
2019-08-06
Business Address
JONATHAN STOUT MD
12446 WEST AVE STE 200
SAN ANTONIO, TX 78216-2530
Phone number: 210-525-1668
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Mailing Address
JONATHAN STOUT MD
700 E MARSHALL AVE
LONGVIEW, TX 75601-5580
Phone number: 903-315-2000
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