Provider Demographics
NPI:1952071383
Name:STOUT FAMILY HEARING, LLC
Entity Type:Organization
Organization Name:STOUT FAMILY HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:STOUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-723-4200
Mailing Address - Street 1:1505 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76309-2124
Mailing Address - Country:US
Mailing Address - Phone:940-723-4200
Mailing Address - Fax:940-723-4203
Practice Address - Street 1:1505 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76309-2124
Practice Address - Country:US
Practice Address - Phone:940-723-4200
Practice Address - Fax:940-723-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment