Individual
COLIN GABRIEL STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-8002
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 358-8002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD42331
AL
207R00000X
Internal Medicine Physician
Primary
W2935
TX
Other
Enumeration date
04/10/2019
Last updated
02/24/2026
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