Provider Demographics
NPI:1124076294
Name:STAFFORD, JAMES HARRY (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HARRY
Last Name:STAFFORD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51800
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79159-1800
Mailing Address - Country:US
Mailing Address - Phone:806-355-9447
Mailing Address - Fax:806-356-9251
Practice Address - Street 1:1900 MEDI PARK DR
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2187
Practice Address - Country:US
Practice Address - Phone:806-355-9447
Practice Address - Fax:806-356-9251
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY18173C2085R0001X
TXJ28082085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100294090AMedicaid
TX124631100OtherFIRSTCARE & SW LIFE
TX8OR524OtherBCBS
TX2302768OtherBCBS BLUE LINK NUMBER
TX134419406Medicaid
TX4607518OtherAETNA
NMW2988Medicaid
TX2302768OtherBCBS BLUE LINK NUMBER
TX4607518OtherAETNA
TX124631100OtherFIRSTCARE & SW LIFE