Randal R Stavinoha in Houston - Sports Medicine
Randal R Stavinoha - NPI 1124114301
Randal R Stavinoha is a Sports Medicine in Houston, Texas. Randal R Stavinoha practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Randal R Stavinoha is 1124114301. The last update date is 2021-06-22.
Randal R Stavinoha's current location address is 2727 W Holcombe Blvd, Houston, Texas. You can contact this provider via phone number 7134420000. The mailing address for Randal R Stavinoha is 2727 W Holcombe Blvd, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randal R Stavinoha |
|---|---|
| Address | 2727 W Holcombe Blvd, Houston, Texas |
| Phone Number | 7134420000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124114301 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2021-06-22 |
Provider Mailing Address Detail
| Address | 2727 W Holcombe Blvd |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770251669 |
| Phone Number | 7134420000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | J2355 |
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Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117568903 | TX | -- | |
| 117568906 | TX | -- | |
| 117568904 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Randal R Stavinoha by the Centers for Medicare & Medicaid Services?
The Randal R Stavinoha has been issued the NPI (National Provider Identifier) 1124114301 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Randal R Stavinoha's facilities are geographically located?
The facilities of Randal R Stavinoha are physically situated at the following location: 2727 W Holcombe Blvd, Houston, TX, 770251669.
What is the area of specialization for Randal R Stavinoha, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randal R Stavinoha is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rs0010X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124114301 to Randal R Stavinoha?
The Centers for Medicare & Medicaid Services originally issued the 1124114301 to Randal R Stavinoha on 2006-10-05.
When was the information related to Randal R Stavinoha most recently updated or refreshed?
The details pertaining to the Randal R Stavinoha, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-22.