| Holmsten Family & Occupational Medicine | |
|
5895 S Braeswood Blvd Houston TX 77096 | |
| (713) 777-3131 | |
| (713) 777-5544 |
| Full Name | Holmsten Family & Occupational Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5895 S Braeswood Blvd, Houston, Texas |
| Authorized Official Name and Position | Walter R Holmsten (MD) |
| Authorized Official Contact | 7137773131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holmsten Family & Occupational Medicine 5895 S Braeswood Blvd Houston TX 77096-1423 Ph: (713) 777-3131 | Holmsten Family & Occupational Medicine 5895 S Braeswood Blvd Houston TX 77096 Ph: (713) 777-3131 |
| NPI Number | 1386131746 |
|---|---|
| Provider Enumeration Date | 04/20/2018 |
| Last Update Date | 01/28/2022 |
| Medicare PECOS PAC ID | 4789910530 |
|---|---|
| Medicare Enrollment ID | O20190731002864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386131746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L8734 (Texas) | Primary |
| 207Q00000X | Family Medicine | D6035 (Texas) | Secondary |
| Provider Name | Walter R Holmsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124050596 PECOS PAC ID: 2567415938 Enrollment ID: I20050225000089 |
| Provider Name | Charles G Holmsten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083728711 PECOS PAC ID: 7810045358 Enrollment ID: I20090511000338 |
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