Individual
WESLEY W STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 BRAESWOOD DR., CORPUS CHRISTI, TX 78412-4584
(361) 992-8500
(361) 992-6711
Mailing address
1718 BRAESWOOD DRIVE, CORPUS CHRISTI, TX 78412-4584
(361) 992-8500
(361) 992-6711
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
F2037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097304201
—
TX
Enumeration date
05/31/2006
Last updated
12/22/2011
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