Individual
JOHN SULLIVAN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4226 WARPATH AVE, SANTA FE, TX 77510-8615
(409) 925-4949
(409) 925-4088
Mailing address
4226 WARPATH AVE, SANTA FE, TX 77510-8615
(409) 925-4949
(409) 925-4088
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
G5640
TX
363AM0700X
Medical Physician Assistant
Primary
PA00750
TX
Other
Enumeration date
04/25/2007
Last updated
09/11/2025
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