Individual provider · Type 1 NPI

Suzanne Marie Stafford

Military Health Care Provider · Fort Worth, TX

NPI number 1861281883 Active

Practice location

3500 Camp Bowie Blvd
Fort Worth, TX 76107-2690

Call (817) 735-2000 Map

Mailing address

3001 Crockett St Apt 1735
Fort Worth, TX 76107-3296

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1861281883

Suzanne Marie Stafford's National Provider Identifier is 1861281883, issued on May 5, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Worth, TX. The record was last updated on May 27, 2026.