Provider Demographics
NPI:1740548676
Name:HOLSTER, SEAN (MD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:HOLSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 MEDICAL PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5429
Mailing Address - Country:US
Mailing Address - Phone:979-836-2822
Mailing Address - Fax:979-836-1943
Practice Address - Street 1:601 MEDICAL PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5429
Practice Address - Country:US
Practice Address - Phone:979-836-2822
Practice Address - Fax:979-836-1943
Is Sole Proprietor?:No
Enumeration Date:2012-04-28
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ0071207Q00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics