Individual
MR. RONALD EVERETT STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
11920 ASTORIA BLVD # 320, HOUSTON, TX 77089-6097
(282) 484-9269
Mailing address
2851 COTTON STOCK DR, SUGAR LAND, TX 77479-1420
(832) 457-1588
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134669
TX
363LA2100X
Acute Care Nurse Practitioner
AP134669
TX
Other
Enumeration date
08/16/2017
Last updated
07/28/2020
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