Provider Demographics
NPI:1275568727
Name:STOUT, TAMARA ALUMBAUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:ALUMBAUGH
Last Name:STOUT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:707 S FRY RD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2256
Mailing Address - Country:US
Mailing Address - Phone:281-398-5360
Mailing Address - Fax:281-398-5364
Practice Address - Street 1:707 S FRY RD
Practice Address - Street 2:SUITE 280
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2256
Practice Address - Country:US
Practice Address - Phone:281-398-5360
Practice Address - Fax:281-398-5364
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2008-05-29
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Provider Licenses
StateLicense IDTaxonomies
TXM0935207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI52114Medicare UPIN