Unknown Individual – Audiologist, NPI 1033211578

Unknown Individual is a healthcare provider. based in Tyler, Texas. specializing in Audiologist. They hold a License No. 50911 (TX). The NPI Number for Unknown Individual is 1033211578

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033211578
Phone
(903) 592-8374
Address
1018 PRUITT PL
Deactivation Date
18 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1978 (48 years ago)
PAC ID
6406924794
Professional Enrollment ID
I20081014000660
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

  • 1018 PRUITT PL

    TYLER, TX 757031132

    Phone: (903) 592-8374

    Fax: (903) 592-5293

    Mailing address matches the actual address.

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 75703)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1033211578 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Audiologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Tyler, Texas for Unknown Individual based on available NPPES addresses.
What if Tyler, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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