IndividualActive
Elisabeth Stafford, M.D.
NPI 1770565376 · Pediatric Adolescent Medicine Physician · Fort Sam Houston, TX
Provider details
- NPI number
- 1770565376
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- License
- 85103 (NM)
Practice location
3851 Roger Brooke Dr
Brooke Army Medical Center, Dept O
Fort Sam Houston, TX 78234-6200
Phone: (210) 916-4017
Fax: (210) 916-1740
Mailing address
36 Champions Way
San Antonio, TX 78258-4810
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.