| NPI | 1578748489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH STOUT Family Practioner 409-813-1677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: TX E9428) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2013-05-14 |