Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1093713661

Unknown Individual is a healthcare provider. based in Corpus christi, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. E8492 (TX). The NPI Number for Unknown Individual is 1093713661

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093713661
Phone
(361) 980-0077
Address
PO BOX 3758
Deactivation Date
19 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
3619924211
Graduation Year
1977 (49 years ago)
PAC ID
5193803740
Group Practice PAC ID
0042282063
Professional Enrollment ID
I20100708000537
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

  • PO BOX 3758

    CORPUS CHRISTI, TX 784633758

    Phone: (361) 980-0077

    Fax: (361) 992-3847

    Type: Mailing

  • South Alameda Street, Corpus Christi, Nueces County, Texas, 78412, United States

    CORPUS CHRISTI, TX 784111637

    Phone: (361) 992-4211

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity6440$0
88313Special stained specimen slides to examine tissue including interpretation and report2117$0
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Insurance plans in this area (ZIP 78463)

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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
PATHOLOGYTX88304Pathology examination of tissue using a microscope, moderately low complexity2522

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: 0042282063View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YTX
-TX

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1093713661 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Corpus Christi, Texas on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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