Unknown Individual – Psychiatry Physician, NPI 1033101142

Unknown Individual is a healthcare provider. based in Sugar land, Texas. specializing in Psychiatry Physician. They hold a License No. N4813 (TX). The NPI Number for Unknown Individual is 1033101142

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033101142
Phone
(440) 503-4544
Address
5519 CAMDEN SPRINGS LN
Deactivation Date
12 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
6800860883
Professional Enrollment ID
I20130712000266
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 5519 CAMDEN SPRINGS LN

    SUGAR LAND, TX 774791698

    Phone: (440) 503-4544

    Type: Mailing

  • 6800 PARK TEN BLVD STE 181-S

    SAN ANTONIO, TX 782134211

    Phone: (210) 261-1060

    Fax: (210) 261-1821

    Type: Mailing

  • 928 W COMMERCE ST

    SAN ANTONIO, TX 782074444

    Phone: (210) 261-1250

    Fax: (210) 261-3723

    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.

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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 77479)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYTX90792Psychiatric diagnostic evaluation with medical services3939

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1033101142 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Sugar Land, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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