Individual
BRANDON LEE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2425 HIGHWAY 121, BEDFORD, TX 76021-5011
(817) 540-4477
(817) 354-2473
Mailing address
2425 HIGHWAY 121, BEDFORD, TX 76021-5011
(817) 540-4477
(817) 354-2473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5664
TX
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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