Unknown Individual – Cardiovascular Disease Physician, NPI 1003815549

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Cardiovascular Disease Physician. They hold a License No. F3587 (TX). The NPI Number for Unknown Individual is 1003815549

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003815549
Phone
(210) 271-3203
Address
8109 FREDERICKSBURG RD
Deactivation Date
28 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2103588984
Graduation Year
1965 (61 years ago)
PAC ID
7911036926
Group Practice PAC ID
7719979509
Professional Enrollment ID
I20100601000818
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8109, Burbank Avenue, Fredericksburg, Spotsylvania County, Virginia, 22407, United States

    PHYSICIAN PRACTICE SERVICES

    SAN ANTONIO, TX 782293311

    Phone: (210) 271-3203

    Fax: (210) 733-6983

    Type: Mailing

  • Ifjúsági Ház, Zrínyi utca, Belváros, Hódmezővásárhely, Hódmezővásárhelyi járás, Csongrád-Csanád, Southern Great Plain, Great Plain and North, 6800, Hungary

    SUITE 200

    SAN ANTONIO, TX 782012038

    Phone: (210) 271-3203

    Fax: (210) 733-6983

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78229)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719979509View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Family PracticeTX
Hospitalist, Internal MedicineTX
-TX
Orthopedic SurgeryTX
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)TX
A N E S T H E S I O L O G YTX
Nurse PractitionerTX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1003815549 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface San Antonio, Texas for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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