Unknown Individual – Neurology Physician, NPI 1134168958

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Neurology Physician. They hold a License No. J4988 (TX). The NPI Number for Unknown Individual is 1134168958

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134168958
Phone
(713) 694-8888
Address
509 W TIDWELL RD STE 250
Deactivation Date
23 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7136948888
Graduation Year
1972 (54 years ago)
PAC ID
9234197823
Professional Enrollment ID
I20120214000592
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

  • 250, West Tidwell Road, Houston, Harris County, Texas, 77022, United States

    HOUSTON, TX 770914354

    Phone: (713) 694-8888

    Fax: (713) 694-1818

    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 77091)

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Provider's Procedures

Unknown Individual performs procedures in Neurology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYTX73562X-ray of knee, 3 views2719
NEUROLOGYTX95819Measurement and recording of brain wave (EEG) activity, awake and asleep413361

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1134168958 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Houston, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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