Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1073593026

Unknown Individual is a healthcare provider. based in Texarkana, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. G3413 (TX). The NPI Number for Unknown Individual is 1073593026

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073593026
Phone
(903) 223-5200
Address
5405 PLAZA DR
Deactivation Date
19 February 2026

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
90379280301240
Graduation Year
1982 (44 years ago)
PAC ID
5092892661
Group Practice PAC ID
0345212817
Professional Enrollment ID
I20080407000314
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

  • Plaza Drive, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755031662

    Phone: (903) 223-5200

    Fax: (903) 223-5213

    Type: Location

  • 14275, Midway Road, Addison, Dallas County, Texas, 75001, United States

    SUITE 400

    ADDISON, TX 750013614

    Phone: (903) 223-5200

    Fax: (610) 271-4245

    Type: Mailing

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity562363$0
88304Pathology examination of tissue using a microscope, moderately low complexity146136$0
88112Cell examination of specimen, selective cellular enhancement technique11572$0
88341Special stained specimen slides to examine tissue, each additional procedure7719$0
88173Evaluation of fine needle aspirate with interpretation and report5440$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTX88307Pathology examination of tissue using a microscope, moderately high complexity2723
PATHOLOGYTX88312Special stained specimen slides to identify organisms including interpretation and report9626
PATHOLOGYTX88342Tissue or cell analysis by immunologic technique5647

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: 0345212817View full group profile
NameSpecialtyState
Nurse PractitionerTX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YUT
Certified Registered Nurse Anesthetist (Crna)TX
Gastroenterology, Internal MedicineTX
G A S T R O E N T E R O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Certified Registered Nurse Anesthetist (Crna)TX
G A S T R O E N T E R O L O G YTX

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1073593026 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Texarkana, 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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