MEDICARE: WALTER R HOLMSTEN MD

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	207Q00000X	Family Medicine Physician	L8734	TX
2	2083X0100X	Occupational Medicine Physician	L8734	TX

General Provider Information

NPI Number	:	1124050596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WALTER R HOLMSTEN MD

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	:	713-777-5544

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	:	713-777-5544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	09/11/2025

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