Unknown Individual – Pulmonary Disease Physician, NPI 1154372688

Unknown Individual is a healthcare provider. based in The woodlands, Texas. specializing in Pulmonary Disease Physician. They hold a License No. L1793 (TX). The NPI Number for Unknown Individual is 1154372688

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1154372688
Phone
(936) 242-1973
Address
3115 COLLEGE PARK DR
Deactivation Date
27 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9362421973
Graduation Year
1994 (32 years ago)
PAC ID
0941240261
Professional Enrollment ID
I20060301000383
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3115, College Park Drive, College Park, The Woodlands, Montgomery County, Texas, 77384, United States

    #110

    THE WOODLANDS, TX 773844000

    Phone: (936) 242-1973

    Fax: (936) 242-1975

    Type: Location

  • College Park Drive, College Park, The Woodlands, Montgomery County, Texas, 77385, United States

    THE WOODLANDS, TX 773844001

    Phone: (936) 242-1973

    Fax: (936) 242-1975

    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.

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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 77384)

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Provider's Procedures

Unknown Individual performs procedures in Pulmonary Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASETX94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2222

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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 1154372688 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in The Woodlands, Texas?
For routing, start with The Woodlands, Texas for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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