Individual provider · Type 1 NPI

Elisabeth M. Stafford, MD

Pediatric Adolescent Medicine Physician · Fort Sam Houston, TX

NPI number 1770565376 Active

Practice location

3851 Roger Brooke Dr, Brooke Army Medical Center, Dept O
Fort Sam Houston, TX 78234-6200

Call (210) 916-4017 Map

Fax (210) 916-1740

Mailing address

36 Champions Way
San Antonio, TX 78258-4810

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X85103 (NM)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1770565376

Elisabeth M. Stafford, MD's National Provider Identifier is 1770565376, issued on Nov 18, 2005. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jul 13, 2026.