NPI 1053314393

Keith B Stout, MD

Practitioner General Practice Physician Beaumont, TX

Practice location

Address: 3480 College St, Beaumont, TX 77701-4612
Phone: (409) 813-1677
Fax: (409) 730-1399

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence E9428 (TX)

Other General Practice providers in Texas →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence E9428 (TX)

Other Family Medicine providers in Texas →

Registry record

NPI: 1053314393
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2005
Record last updated: 19 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.