| NPI | 1518511393 |
|---|---|
| Former Name | PATRICIA D STAFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX PA12950) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-06-27 |