Organization Active NPI

Holmsten Family & Occupational Medicine

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1386131746
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L8734 Issued in TX
Legal business name
HOLMSTEN FAMILY & OCCUPATIONAL MEDICINE
Practice address
5895 S Braeswood Blvd
Houston, TX 77096
Phone
(713) 777-3131
Fax
(713) 777-5544
NPI assigned
Apr 20, 2018
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Walter R Holmsten, MDNPI 1124050596
Title
MD
Phone
(713) 777-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D6035 TX
Family Medicine Physician 207Q00000X L8734 TX Primary

Addresses

Primary practice location

5895 S Braeswood Blvd
Houston, TX 77096

Mailing address

5895 S Braeswood Blvd
Houston, TX 77096-1423
Phone (713) 777-3131

Other practice location 1

1730 BF Terry Blvd. (FM2218) Suite#302
Rosenberg, TX 77471
Phone (281) 633-0148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190731002864 TX Part B Supplier - Clinic/Group Practice 4789910530 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX; Rosenberg, 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
45D2120148Holmsten Family & Occupational Medicine5895 S Braeswood Blvd, Houston, TX 77096Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory

Locations

5895 S Braeswood Blvd
Houston, TX 77096
Phone (713) 777-3131

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1386131746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5895 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961423",
            "telephone_number": "713-777-3131",
            "fax_number": "713-777-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-777-3131",
            "fax_number": "713-777-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 BF Terry Blvd. (FM2218) Suite#302",
            "address_purpose": "LOCATION",
            "city": "Rosenberg",
            "state": "TX",
            "postal_code": "77471",
            "country_code": "US",
            "telephone_number": "281-633-0148",
            "fax_number": "281-633-2298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLMSTEN FAMILY & OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "HOLMSTEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "713-777-3131",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D6035",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 2022; 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.