Provider Demographics
NPI:1003113838
Name:NEXTCLINIC PLLC
Entity Type:Organization
Organization Name:NEXTCLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:HOLMSTEN
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:281-633-0148
Mailing Address - Street 1:7545 S BRAESWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-1423
Mailing Address - Country:US
Mailing Address - Phone:713-777-3131
Mailing Address - Fax:
Practice Address - Street 1:7545 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-1423
Practice Address - Country:US
Practice Address - Phone:713-777-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty