Unknown Individual – Internal Medicine Physician, NPI 1083619696

Unknown Individual is a healthcare provider. based in Muenster, Texas. specializing in Internal Medicine Physician. They hold a License No. F5812 (TX). The NPI Number for Unknown Individual is 1083619696

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083619696
Phone
(940) 759-2226
Address
PO BOX 687
Deactivation Date
23 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9407592271
Graduation Year
1963 (63 years ago)
PAC ID
0840265732
Group Practice PAC ID
6608785993
Professional Enrollment ID
I20150401000828
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

  • Dursey Cable Car, Beara Way, Billeragh, Kilnamanagh, West Cork, County Cork, Munster, P75 K722, Ireland

    MUENSTER, TX 762520687

    Phone: (940) 759-2226

    Fax: (940) 759-2385

    Type: Mailing

  • Maple Street, Muenster, Cooke County, Texas, 76252, United States

    MUENSTER, TX 762522425

    Phone: (940) 759-2226

    Fax: (940) 759-2385

    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.

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 76252)

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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: 6608785993View full group profile
NameSpecialtyState
Family PracticeTX
Internal Medicine, Emergency MedicineTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Family PracticeTX
Family Practice, Emergency Medicine, Emergency MedicineTX

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1083619696?
NPI 1083619696 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Muenster, Texas as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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