DOUGLAS T STAFFORD DO PA
Marriage and Family Therapists at Walnut Hill Ln, Dallas, TX

License number
Texas J3909
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. DOUGLAS T STAFFORD D.O.
Title: PRESIDENT
Phone: (214) 265-1001
Address
Address
8230 Walnut Hill Ln STE 600, Dallas, TX 75231
National Provider ID: 1801072061
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DOUGLAS T. STAFFORD, D.O., PA

Plano, TX  -  Dallas, TX

Status:
Inactive
Doing business as:
Douglas T. Stafford, D.O., PA
Registration:
Dec 18, 2000
Addresses:
4553 Pecan Vly Dr, Plano, TX 75093 (Mailing)
8230 Walnut Hl Ln, Dallas, TX 75231
State ID:
0082213303
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
Douglas T. Stafford President , Treasurer , Director , Member , Secretary , Vice-President, inactive
Agent:
Douglas Stafford,8230 Walnut Hl Ln, Dallas, TX 75231 (Physical)
TIN:
32035988024

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