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NPI Code Detail

MEDICARE: ANN ULMER STOUT MD

MEDICARE: ANN ULMER STOUT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0110XPediatric Ophthalmology and Strabismus Specialist PhysicianH0854TX
2207W00000XOphthalmology PhysicianH0854TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180041720OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629021878
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN ULMER STOUT MD
Provider Business Mailing Address
First Line : 7155 OLD KATY RD
Second Line : SUITE N100
City : HOUSTON
State : TX
Zip : 77024-2134
Country : US
Telephone Number : 713-668-6828
Fax Number : 832-280-3636
Provider Business Practice Location Address
First Line : 2855 GRAMERCY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1756
Country : US
Telephone Number : 713-668-6828
Fax Number : 713-668-3823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 04/19/2020

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Directions to “ ANN ULMER STOUT MD” Practice Location

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