Individual provider · Type 1 NPI
John Sullivan Stafford, MD
Medical Physician Assistant · Santa Fe, TX
NPI number
1346469616
Active
Practice location
4226 Warpath Ave
Santa Fe, TX 77510-8615
Fax (409) 925-4088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | G5640 (TX) |
| Medical Physician Assistant Primary | 363AM0700X | PA00750 (TX) |
Medical Physician Assistant: Definition to come...
About NPI 1346469616
John Sullivan Stafford, MD's National Provider Identifier is 1346469616, issued on Apr 25, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Fe, TX. The record was last updated on Sep 11, 2025.