MEDICARE: NEXTCLINIC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1003113838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXTCLINIC PLLC

Provider Business Mailing Address
First Line	:	7545 S BRAESWOOD BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-1423
Country	:	US
Telephone Number	:	713-777-3131
Fax Number	:

Provider Business Practice Location Address
First Line	:	7545 S BRAESWOOD BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77071-1423
Country	:	US
Telephone Number	:	713-777-3131
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WALTER RUSSELL HOLMSTEN II
Credential	:	MD
Telephone Number	:	281-633-0148

Provider Enumeration Date	:	02/14/2011
Last Update Date	:	02/14/2011

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Directions to “NEXTCLINIC PLLC ” Practice Location

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