Individual provider · Type 1 NPI

Michal Ann Stout

Student in an Organized Health Care Education/Training Program · Tyler, TX

NPI number 1730855164 Active

Practice location

3900 University Blvd
Tyler, TX 75799-6600

Call (903) 565-5777 Map

Mailing address

7611 Crosswater
Tyler, TX 75703-0671

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730855164

Michal Ann Stout's National Provider Identifier is 1730855164, issued on Aug 17, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tyler, TX. The record was last updated on Aug 17, 2021.