Individual
ANGIE MARIE STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SURGICALFIRST ASSIST
Contact information
Practice address
272 N AVENUE E, CRAWFORD, TX 76638-3242
(254) 424-5231
Mailing address
272 N AVENUE E, CRAWFORD, TX 76638-3242
(254) 424-5231
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
04/08/2022
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