Organization
DOUGLAS T STAFFORD DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS T STAFFORD D.O. (PRESIDENT)
(214) 265-1001
Entity
Organization
Contact information
Practice address
8230 WALNUT HILL LN STE 600, DALLAS, TX 75231-4432
(214) 265-1001
Mailing address
8230 WALNUT HILL LN STE 600, DALLAS, TX 75231-4432
(214) 265-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00419V
MEDICARE GROUP
TX
01
—
D94027
UPIN
TX
Enumeration date
01/17/2008
Last updated
06/30/2010
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