Individual provider Active NPI

Terry Allen Holster, M.D.

  • Internal Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1326087040
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2980 Issued in TX
Practice address
4660 Sweetwater Blvd
Suite No. 190
Sugar Land, TX 77479-3011
Phone
(281) 494-4004
Fax
(281) 494-8899
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2980 TX Primary

Addresses

Primary practice location

4660 Sweetwater Blvd
Suite No. 190
Sugar Land, TX 77479-3011

Mailing address

4660 Sweetwater Blvd
Suite No. 190
Sugar Land, TX 77479-3011
Phone (281) 494-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070521000116 TX Practitioner - Internal Medicine 5890892210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine Associates of Sugar LandGroup PAC ID 4082711403, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

7102 Tarrington Ave
Suite 701
Sugar Land, TX 77479-7281
Phone (281) 207-0123

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2980TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Sugar Land Internal Medicine CurrentSince Aug 7, 2006 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7616 Branford Pl
Ste 20
Sugar Land, TX 77479
Phone (281) 207-0123

4660 Sweetwater Blvd
Ste 190
Sugar Land, TX 77479
Phone (281) 313-0551

7616 Branford Pl
Ste 120
Sugar Land, TX 77479
Phone (281) 207-0123

7102 Tarrington Ave
Ste 701
Sugar Land, TX 77479
Phone (281) 207-0123

Interoperability endpoints

  • Direct secure messaging: terry.holster.1@13342.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1326087040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD",
            "address_2": "SUITE NO. 190",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793011",
            "telephone_number": "281-494-4004",
            "fax_number": "281-494-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD",
            "address_2": "SUITE NO. 190",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793011",
            "telephone_number": "281-494-4004",
            "fax_number": "281-494-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTER",
        "first_name": "TERRY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.