Individual provider · Type 1 NPI

Jack Stout, CRNA

Certified Registered Nurse Anesthetist · Mcallen, TX

NPI number 1104838234 Active

Practice location

222 E Ridge Rd, Suite 204
Mcallen, TX 78503-1251

Fax (956) 630-6643

Mailing address

PO Box 1672
San Antonio, TX 78296-1672

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X229533 (TX)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1104838234

Jack Stout, CRNA's National Provider Identifier is 1104838234, issued on Aug 13, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Mcallen, TX. The record was last updated on Jul 8, 2007.