Individual provider Active NPI

Holly Elizabeth Wang, FNP-C

  • Family Nurse Practitioner
  • Webster, TX
National Provider Identifier
1871866012
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
706332 Issued in TX
Practice address
450 W Medical Center Blvd
Webster, TX 77598-4234
Phone
(281) 554-1690
NPI assigned
Feb 20, 2012
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN119640 TX
Family Nurse Practitioner 363LF0000X 706332 TX Primary

Addresses

Primary practice location

450 W Medical Center Blvd
Webster, TX 77598-4234

Mailing address

651 N Egret Bay Blvd Ste H
League City, TX 77573-2665
Phone (832) 632-1333

Other practice location 1

700 N Sam Houston Pkwy W
Houston, TX 77067-4338
Phone (832) 828-1538

Other names 1

  • Holly Elizabeth Wang Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
706332TXMDFamily Nurse Practitioner
APRN119640TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bassem Maximos, M.D., MPH, P.a. CurrentSince Feb 26, 2025 Accepting new patients

Locations

651 N Egret Bay Blvd
Ste H
League City, TX 77573
Phone (832) 632-1333

Interoperability endpoints

  • Direct secure messaging: holly.huysman@hca9.eclinicaldirectplus.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1871866012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 N EGRET BAY BLVD STE H",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732665",
            "telephone_number": "832-632-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984234",
            "telephone_number": "281-554-1690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N Sam Houston Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770674338",
            "country_code": "US",
            "telephone_number": "832-828-1538",
            "fax_number": "832-825-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "HOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "APRN119640",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "706332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "WANG",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.