Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1205833605

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. E5138 (TX). The NPI Number for Unknown Individual is 1205833605

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205833605
Phone
(713) 559-6929
Address
P.O. BOX 421849
Deactivation Date
18 September 2024

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
7137416677
Graduation Year
1974 (52 years ago)
PAC ID
3072508225
Group Practice PAC ID
3072508316
Professional Enrollment ID
I20100830000422
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

  • P.O. BOX 421849

    HOUSTON, TX 772421849

    Phone: (713) 559-6929

    Fax: (713) 559-6928

    Type: Mailing

  • 2525, West Bellfort Street, Houston, Harris County, Texas, 77054, United States

    STE 120

    HOUSTON, TX 770545024

    Phone: (713) 741-6677

    Fax: (713) 748-5860

    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.

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

Insurance plans in this area (ZIP 77242)

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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 complexity5550
PATHOLOGYTX88307Pathology examination of tissue using a microscope, moderately high complexity7739
PATHOLOGYTX88312Special stained specimen slides to identify organisms including interpretation and report12385

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: 3072508316View full group profile

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1205833605 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
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.
Where is Unknown Individual's primary listing?
We display Houston, Texas because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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