Active NPI
Douglas T Stafford DO PA
- Family Medicine Physician
- Dallas, TX
National Provider Identifier
1801072061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J3909
- Legal business name
- DOUGLAS T STAFFORD DO PA
- Practice address
- 8230 Walnut Hill LN Ste 600
Dallas, TX 75231-4432 - Phone
- (214) 265-1001
- NPI assigned
- Jan 17, 2008
- 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
- Dr. Douglas T Stafford, D.O.
- Title
- President
- Phone
- (214) 265-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J3909 | TX | Primary |
Addresses
Primary practice location
8230 Walnut Hill LN Ste 600
Dallas, TX 75231-4432
Mailing address
8230 Walnut Hill LN Ste 600
Dallas, TX 75231-4432
Phone (214) 265-1001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00419V | Other | TX | MEDICARE GROUP |
| D94027 | Other | TX | UPIN |
National Provider Directory
National Provider DirectoryLocations
8230 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 361-0946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1801072061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8230 WALNUT HILL LN STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314432",
"telephone_number": "214-265-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8230 WALNUT HILL LN STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314432",
"telephone_number": "214-265-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS T STAFFORD DO PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "STAFFORD",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-265-1001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "J3909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "00419V",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "D94027",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Doughertys Pharmacy Inc (Doughertys Health Services)
- Kyle Edward Doughty, M.D.
- Douglas Avenue Medical Management Co (Rocha General MEdicine Clinic)
- Douglas Bellamy, Edd Psychologist PC (Bellamy Associates, Psychologists)
- Douglas R. Turgeon, M.D., P.a.
- Becky Ann Douglas, RN, WHCNP
- Beverly Jean Douglas, ARNP
- Brittany Douglas
- Carly Douglas, RNFA
- Courtland Douglas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.