Unknown Individual – Obstetrics & Gynecology Physician, NPI 1033104351

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Obstetrics & Gynecology Physician. They hold a License No. E2963 (TX). The NPI Number for Unknown Individual is 1033104351

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033104351
Phone
(713) 797-1144
Address
6651 MAIN ST STE F1500
Deactivation Date
6 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8328267500
Graduation Year
1974 (52 years ago)
PAC ID
4880626381
Group Practice PAC ID
4385722081
Professional Enrollment ID
I20080410000763
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 6651 MAIN ST STE F1500

    HOUSTON, TX 77030

    Phone: (713) 797-1144

    Fax: (832) 825-7778

    Type: Location

  • O'Quinn Medical Tower, 6624, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    SUITE 1800

    HOUSTON, TX 770302312

    Phone: (713) 797-1144

    Fax: (713) 425-3072

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($49).

Total Amount

$78

General + Research + Ownership

Payments

5

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination5757$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory2424$0
View full utilization report →

Insurance plans in this area (ZIP 77030)

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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: 4385722081View full group profile
NameSpecialtyState
Pediatric MedicineTX
Pediatric Medicine, Allergy/ImmunologyTX
Pediatric Medicine, Pulmonary DiseaseTX
Physician AssistantTX
Orthopedic SurgeryTX
-TX
U R O L O G YAR
Hematology/Oncology, Pediatric MedicineTX
-TX
N E P H R O L O G YTX

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1033104351.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Houston, Texas for Unknown Individual based on available NPPES addresses.
What if Houston, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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