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General NPI Number Information
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NPI Number | 1063807576
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Entity Type | Individual
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Provider Name | CHELSEA STANFORD MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 195 MURRAY FARM DR STE 100
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City | FAIRVIEW
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State | TX
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Zip | 75069-1728
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Country | US
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Telephone | 469-303-3000
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Fax | 469-303-4510
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Provider Business Mailing Address
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Address Line | 195 MURRAY FARM RD STE 100
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City | FAIRVIEW
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State | TX
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Zip | 75069-1728
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Country | US
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Telephone | 469-303-3000
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Fax | 469-303-4510
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R7905
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 67997
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | R7905
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License Number State | TX
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