Organization
MICHAEL W STAVINOHA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W STAVINOHA M D P A (PHYSICIAN)
(713) 869-8200
Entity
Organization
Contact information
Practice address
1631 NORTH LOOP WEST, SUITE 655, HOUSTON, TX 77008
(713) 869-8200
(713) 867-2013
Mailing address
1631 NORTH LOOP WEST, SUITE 655, HOUSTON, TX 77008
(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
08/16/2007
Last updated
01/14/2011
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