Unknown Individual – Family Medicine Physician, NPI 1265420392

Unknown Individual is a healthcare provider. based in Muleshoe, Texas. specializing in Family Medicine Physician. They hold a License No. E6153 (TX). The NPI Number for Unknown Individual is 1265420392

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265420392
Phone
(806) 272-7531
Address
701 S 1ST ST
Deactivation Date
9 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
8062724524
Graduation Year
1976 (50 years ago)
PAC ID
5597783027
Group Practice PAC ID
6901124114
Professional Enrollment ID
I20100909000439
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

  • 701, South 1st Street, Muleshoe, Bailey County, Texas, 79347, United States

    MULESHOE, TX 793473626

    Phone: (806) 272-7531

    Fax: (806) 272-4749

    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 79347)

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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: 6901124114View full group profile
NameSpecialtyState
-TX

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1265420392 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Muleshoe?
Unknown Individual currently maps to Muleshoe, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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