Individual
BRETT D STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 GASTON AVE, SUITE 550, DALLAS, TX 75246-1800
(214) 821-8867
(214) 821-1193
Mailing address
PO BOX 849931, DALLAS, TX 75284-0001
(214) 821-8867
(214) 821-1193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L9917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AL369
BCBS
TX
Enumeration date
10/18/2006
Last updated
04/12/2022
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