Active NPI
Stafford Medical & Med Spa, PLLC
- Family Medicine Physician
- Stafford, TX
National Provider Identifier
1316801863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- STAFFORD MEDICAL & MED SPA, PLLC
- Practice address
- 4807 Sugar Grove Blvd Ste 201
Stafford, TX 77477-2653 - Phone
- (901) 550-9635
- NPI assigned
- Dec 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tuan Anh Ngoc Nguyen, MD
- Title
- Ceo
- Phone
- (901) 438-5011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4807 Sugar Grove Blvd Ste 201
Stafford, TX 77477-2653
Mailing address
4807 Sugar Grove Blvd Ste 201
Stafford, TX 77477-2653
Phone (346) 283-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2340394 | Stafford Medical & Med Spa | Certificate of waiver | Mar 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Houston, TX
- NPI 1932238821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1316801863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4807 SUGAR GROVE BLVD STE 201",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774772653",
"telephone_number": "346-283-8888",
"fax_number": "346-284-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4807 SUGAR GROVE BLVD STE 201",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774772653",
"telephone_number": "901-550-9635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAFFORD MEDICAL & MED SPA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-10",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TUAN",
"authorized_official_middle_name": "ANH NGOC",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-438-5011",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
- Stafford Emergency Center,LLC (SignatureCare Emergency Center)
- Stafford Family Dentist
- Stafford Family Practice PLLC
- Stafford Fire Department
- Stafford Genetics Inc
- Stafford Medical Clinic Occcupation and Urgent Care
- Stafford Medical Supply Inc
- Stafford Municipal School District
- Stafford Pharmacy
- Stafford Pharmacy & DME LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.