Individual
RANDAL R STAVINOHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
J2355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117568903
—
TX
05
—
117568904
—
TX
05
—
117568906
—
TX
Enumeration date
10/05/2006
Last updated
06/22/2021
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