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Individual

MICHAEL W STAVINOHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PA

Contact information

Practice address
1631 NORTH LOOP WEST, SUITE 655, HOUSTON, TX 77008-1599
(713) 869-8200
(713) 867-2013
Mailing address
1631 NORTH LOOP WEST, SUITE 655, HOUSTON, TX 77008-1599
(713) 869-8200
(713) 867-2013

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G8436
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127858203
TX
Enumeration date
07/27/2006
Last updated
11/04/2010
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