Provider Demographics
NPI:1861192460
Name:STAFFORD HEALTHCARE INC
Entity type:Organization
Organization Name:STAFFORD HEALTHCARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:SOBHA NAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:PRABHAKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-628-2842
Mailing Address - Street 1:3695 HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4403
Mailing Address - Country:US
Mailing Address - Phone:281-302-6579
Mailing Address - Fax:281-302-6598
Practice Address - Street 1:3695 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4403
Practice Address - Country:US
Practice Address - Phone:281-302-6579
Practice Address - Fax:281-302-6598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy