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STAFFORD FAMILY PRACTICE PLLC
NPI 1780387092
Family Medicine in Stafford, TX

Active since March 24, 2023CLIA 45D2326123 · Waiver
203 BRAND LN STE 35, STAFFORD, TX 77477(281) 598-6614 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 29, 2025, Nov 7, 2024, May 16, 2024 and 1 more (4 updates tracked since 2023).

About Stafford Family Practice Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAFFORD FAMILY PRACTICE PLLC (NPI 1780387092) is a healthcare organization registered as a family medicine in Stafford, Texas and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through June 25, 2027, maintains 2 additional practice locations, and lists Martin Kay, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780387092
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTAFFORD FAMILY PRACTICE PLLC
Location Address203 BRAND LN STE 35Stafford, TX 77477-5317
Mailing Address203 Brand Ln Ste 35Stafford, TX 77477-5317 · (281) 598-6614
Phone(281) 598-6614
Organization SubpartNo
Authorized OfficialMartin KayAdministrator · (866) 439-3165
Enumeration DateMarch 24, 2023
Last NPPES UpdateMay 29, 20254 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1780387092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
203 BRAND LN STE 35, Stafford, TX 77477
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1705 E Marshall Ave Ste 3001Longview, TX 75601-5610 · Phone (903) 230-9811 · Fax (903) 653-1431
Location 2601 Golder Ave # UitebOdessa, TX 79761-4412 · Phone (432) 580-8000 · Fax (281) 598-6615

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2326123

Stafford Family Practice · Stafford, TX
Active · expires Jun 25, 2027
CLIA Number45D2326123
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorRiaz Haque
Laboratory Phone(281) 598-6614
Laboratory LocationStafford Family Practice203 Brand Ln # 35, Stafford, TX 77477
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TEXAS INNOVATIVE MEDICS PLLC
Internal Medicine
203 BRAND LN STE 35
STAFFORD, TX 77477
Fort Bend County (281) 598-6614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stafford Family Practice PLLC's NPI number?

The NPI number for Stafford Family Practice PLLC is 1780387092. It was assigned to this organization in the NPPES registry on March 24, 2023.

Where is Stafford Family Practice PLLC located?

Stafford Family Practice PLLC is located at 203 Brand Ln Ste 35, Stafford, TX 77477. The listed phone number is (281) 598-6614.

What is Stafford Family Practice PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Stafford Family Practice PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2326123) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stafford Family Practice PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Stafford Family Practice PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stafford Family Practice PLLC was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.