Unknown Individual – Occupational Medicine Physician, NPI 1043306384

Unknown Individual is a healthcare provider. based in Wichita falls, Texas. specializing in Occupational Medicine Physician. They hold a License No. F4093 (TX). The NPI Number for Unknown Individual is 1043306384

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1043306384
Phone
(940) 766-8791
Address
501 MIDWESTERN PKWY E
Deactivation Date
14 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2545775642
Graduation Year
1979 (47 years ago)
PAC ID
1153389903
Group Practice PAC ID
0042507600
Professional Enrollment ID
I20041227000199
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

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Provider Addresses for Unknown Individual

  • 501, Midwestern Parkway East, Wichita Falls, Wichita County, Texas, 76302, United States

    WICHITA FALLS, TX 763022302

    Phone: (940) 766-8791

    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 76302)

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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: 0042507600View full group profile
NameSpecialtyState
-TX
Nurse PractitionerAZ
Physician AssistantUT
Nurse PractitionerTX
Emergency MedicineTX
Physician AssistantAR
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1043306384 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Wichita Falls?
Unknown Individual currently maps to Wichita Falls, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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