Unknown Individual – Physician Assistant, NPI 1164432787

Unknown Individual is a healthcare provider. based in Edinburg, Texas. specializing in Physician Assistant. They hold a License No. PA02138 (TX). The NPI Number for Unknown Individual is 1164432787

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1164432787
Phone
(956) 292-0100
Address
502 S CLOSNER BLVD
Deactivation Date
1 December 2021

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9563831171
Graduation Year
1995 (31 years ago)
PAC ID
5597897694
Group Practice PAC ID
2062470529
Professional Enrollment ID
I20100723000811
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

Loading map...

Provider Addresses for Unknown Individual

  • 502, South Closner Boulevard, Enfield Estates, Edinburg, Hidalgo County, Texas, 78539, United States

    EDINBURG, TX 785394660

    Phone: (956) 292-0100

    Fax: (956) 383-1906

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 78539)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX83036Hemoglobin A1C level155133
PHYSICIAN ASSISTANTTX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1717

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: 2062470529View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Physician AssistantTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Internal MedicineTX
Nurse PractitionerTX
Internal Medicine, HospitalistTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1164432787.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Edinburg, Texas. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

South Jackson Road, Altamira West Number 2 Colonia, Edinburg, Hidalgo County, Texas, 78540, United States
NPI: 1902887094

DINA SEGOVIA DENNIS (PA)

Physician Assistant
1901 S 24TH AVE
NPI: 1710930656

RAENA JENNINGS (PA-C)

Physician Assistant
5525 DOCTORS DR
NPI: 1487681573
PO BOX 749
NPI: 1255350708

MR. MOHAMMED O AHMED (PA-C)

Physician Assistant
502, South Closner Boulevard, Enfield Estates, Edinburg, Hidalgo County, Texas, 78539, United States
NPI: 1235153396

VICENTE BAUTISTA (PA)

Physician Assistant
Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States
NPI: 1124038336

MR. RAYMOND CHARLES FRANKLIN (PA)

Medical Physician Assistant
615, East University Drive, Sunrise Estates Number 1 Colonia, Edinburg, Hidalgo County, Texas, 78539, United States
NPI: 1982718789

LETICIA R. PEREZ (MPAS, PA)

Medical Physician Assistant
12221 Renfert Way Ste 330
NPI: 1972680858

FRANCISCO JR. AMBRIZ

Physician Assistant
2534 BOCA CHICA BLVD
NPI: 1386703163