| Jack Stout, CRNA | |
|
222 E Ridge Rd, Suite 204, Mcallen, TX 78503-1251 | |
| (956) 632-6020 | |
| (956) 630-6643 |
| Full Name | Jack Stout |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 46 Years |
| Location | 222 E Ridge Rd, Mcallen, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104838234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 229533 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 1006 |
| Entity Name | Guardian Angel Anesthesia Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932468931 PECOS PAC ID: 5799940912 Enrollment ID: O20120712000751 |
| Entity Name | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Stout, CRNA Po Box 1672, San Antonio, TX 78296-1672 Ph: (956) 632-6020 | Jack Stout, CRNA 222 E Ridge Rd, Suite 204, Mcallen, TX 78503-1251 Ph: (956) 632-6020 |
Vanessa Anais Sosa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3109 Helena Ave, Mcallen, TX 78503 Phone: 956-739-1719 | |
Rogelio Magdiel Cantu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 W Expy 83, Mcallen, TX 78503 Phone: 956-632-4000 | |
Stacy Tavarez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 W Expy 83, Mcallen, TX 78503 Phone: 956-632-4000 | |
Marla J Hadeler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 E Nolana Ave, Ste H, Mcallen, TX 78504 Phone: 956-682-4151 Fax: 956-682-4154 | |
Nora J Coast, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4228 N Mccoll Rd, Mcallen, TX 78504 Phone: 956-682-4151 Fax: 956-682-4154 | |
Jorge Alvarez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1309 E Ridge Rd Ste 3, Mcallen, TX 78503 Phone: 956-631-7202 Fax: 956-631-3026 |