Organization
INNOVATIVE RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL STENOIEN M.D. (PRESIDENT)
(713) 526-5771
Entity
Organization
Contact information
Practice address
3310 RICHMOND AVE, HOUSTON, TX 77098-3008
(713) 797-1919
(713) 383-9933
Mailing address
PO BOX 4346, DEPT 486, HOUSTON, TX 77210-4346
(713) 797-1919
(713) 383-9983
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150478901
—
TX
01
—
CJ9864
MEDICARE RAILROAD
TX
Enumeration date
06/02/2006
Last updated
03/31/2025
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