MEDICARE: HOUSTON MEDICAL IMAGING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982644621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON MEDICAL IMAGING

Provider Business Mailing Address
First Line	:	3310 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3008
Country	:	US
Telephone Number	:	713-797-1919
Fax Number	:	713-383-9933

Provider Business Practice Location Address
First Line	:	3310 RICHMOND AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-3008
Country	:	US
Telephone Number	:	713-797-1919
Fax Number	:	713-383-9933

Authorized Official
Title or Position	:	CEO
Name	:	DR. RANDALL A STENOIEN
Credential	:	M.D.
Telephone Number	:	713-797-1919

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/17/2016

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Directions to “HOUSTON MEDICAL IMAGING ” Practice Location

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