Unknown Individual – Internal Medicine Physician, NPI 1093758500

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Internal Medicine Physician. They hold a License No. F0355 (TX). The NPI Number for Unknown Individual is 1093758500

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093758500
Phone
(713) 523-9508
Address
1200 Binz St
Deactivation Date
6 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5128757000
Graduation Year
1975 (51 years ago)
PAC ID
5991776148
Group Practice PAC ID
5193634293
Professional Enrollment ID
I20040803000376
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1200 Binz St

    1410

    Houston, TX 770046900

    Phone: (713) 523-9508

    Fax: (713) 526-2321

    Type: Location

  • Seton Edgar B. Davis Hospital, 130, Hays Street, Luling, Caldwell County, Texas, 78468, United States

    SUITE B AND D

    LULING, TX 786483207

    Phone: (830) 875-7078

    Fax: (830) 875-7079

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77004)

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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: 5193634293View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
-TX
Internal MedicineTX
Internal MedicineTX
R H E U M A T O L O G YTX
Internal Medicine, Pulmonary DiseaseTX
Nurse PractitionerPA
Nurse PractitionerTX
Orthopedic Surgery, Sports MedicineTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1093758500 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Internal Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Houston, Texas may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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