Provider Demographics
NPI:1265512602
Name:STAFFORD, JAMES B (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:STAFFORD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6620 MAIN ST
Mailing Address - Street 2:1325
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2348
Mailing Address - Country:US
Mailing Address - Phone:713-986-6000
Mailing Address - Fax:713-986-6221
Practice Address - Street 1:6620 MAIN ST
Practice Address - Street 2:1325
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2348
Practice Address - Country:US
Practice Address - Phone:713-986-6016
Practice Address - Fax:713-986-6001
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE46972086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133774308Medicaid
TX0918730002OtherDME MEDICARE PROVIDER NUMBER
TX133774308Medicaid
TX0918730002OtherDME MEDICARE PROVIDER NUMBER
TX8L12832Medicare PIN