Active NPI
Wesley W Stafford, MD
- Allergy & Immunology Physician
- Corpus Christi, TX
National Provider Identifier
1073550190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- F2037
- Practice address
- 1718 Braeswood Dr.
Corpus Christi, TX 78412-4584 - Phone
- (361) 992-8500
- Fax
- (361) 992-6711
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | F2037 | TX | Primary |
Addresses
Primary practice location
1718 Braeswood Dr.
Corpus Christi, TX 78412-4584
Mailing address
1718 Braeswood Drive
Corpus Christi, TX 78412-4584
Phone (361) 992-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 097304201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F2037 | TX | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1073550190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 BRAESWOOD DRIVE",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784124584",
"telephone_number": "361-992-8500",
"fax_number": "361-992-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 BRAESWOOD DR.",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784124584",
"telephone_number": "361-992-8500",
"fax_number": "361-992-6711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "WESLEY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TX",
"license": "F2037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "097304201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.