Unknown Individual – Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician, NPI 1295803187

Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician

Unknown Individual is a healthcare provider. based in Victoria, Texas. specializing in Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician. They hold a License No. E6195 (TX). The NPI Number for Unknown Individual is 1295803187

Main info

Organization

Inactive

50 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1295803187

Phone

(361) 572-4300

Address

605 E LOCUST AVE

Deactivation Date

27 December 2023

Doctor Profile

Medical School Name

UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON

Secondary Phone

3615724300

Graduation Year

1976 (50 years ago)

PAC ID

1052403573

Group Practice PAC ID

2567461338

Professional Enrollment ID

I20070910000337

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

East Locust Avenue, Victoria, Victoria County, Texas, 77901, United States
VICTORIA, TX 779013933
Phone: (361) 572-4300
Fax: (361) 570-1147
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 77901)

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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: 2567461338View full group profile

Name	Specialty	State
DR. TYSON K. MEYER (MD)	-	TX
MRS. RACHEAL WUNSCH (RN, FNP-C, ACHPN)	-	TX

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1295803187 uniquely identifies Unknown Individual in U.S. healthcare data.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What services align with Unknown Individual's listing?

Unknown Individual's public classification highlights Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.

Can patients visit Unknown Individual in Victoria, Texas?

For routing, start with Victoria, Texas for Unknown Individual, then verify phone and hours locally.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.