Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1285669069

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. E6434 (TX). The NPI Number for Unknown Individual is 1285669069

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285669069
Phone
Not provided
Address
PO BOX 4677
Deactivation Date
15 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
9792456383
Graduation Year
1976 (50 years ago)
PAC ID
4183629413
Group Practice PAC ID
8527956176
Professional Enrollment ID
I20060920000329
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

  • Houston Post Office, 2087, AR 60, Houston, Perry County, Arkansas, 72070, United States

    HOUSTON, TX 772104677

    Phone:

    Type: Mailing

  • Conroe Regional Medical Center, 504, Medical Center Boulevard, Conroe, Montgomery County, Texas, 77304, United States

    CONROE, TX 773042808

    Phone: (713) 481-3544

    Fax: (713) 432-0221

    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 77210)

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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 complexity3431
PATHOLOGYTX88307Pathology examination of tissue using a microscope, moderately high complexity3627
PATHOLOGYTX88312Special stained specimen slides to identify organisms including interpretation and report1614

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: 8527956176View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1285669069 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Anatomic Pathology & Clinical Pathology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Houston, Texas may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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