Organization Active NPI

Holman Medical Associates, P.a.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1043433360
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOLMAN MEDICAL ASSOCIATES, P.A.
Practice address
10838 Beechnut St
Houston, TX 77072-4459
Phone
(281) 575-9967
Fax
(281) 575-9883
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tina Tran
Title
Office Manager
Phone
(281) 575-9967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10838 Beechnut St
Houston, TX 77072-4459

Mailing address

10838 Beechnut St
Houston, TX 77072-4459
Phone (281) 575-9967

Other identifiers 2

IdentifierTypeStateIssuer
092175101MedicaidTX
092175102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608001133 TX Part B Supplier - Clinic/Group Practice 3476536814 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0977374Holman Medical Associates, PA10838 Beechnut, Houston, TX 77072Certificate of waiverAug 23, 2026

National Provider Directory

National Provider Directory

Locations

10838 Beechnut St
Houston, TX 77072
Phone (281) 575-9967

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1043433360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10838 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770724459",
            "telephone_number": "281-575-9967",
            "fax_number": "281-575-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10838 BEECHNUT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770724459",
            "telephone_number": "281-575-9967",
            "fax_number": "281-575-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMAN MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-575-9967"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092175101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092175102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.