Unknown Individual – Otolaryngology Physician, NPI 1306945043

Unknown Individual is a healthcare provider. based in Eagle pass, Texas. specializing in Otolaryngology Physician. They hold a License No. F7755 (TX). The NPI Number for Unknown Individual is 1306945043

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306945043
Phone
(830) 773-8917
Address
PO BOX 1470
Deactivation Date
13 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8307735358
Graduation Year
1975 (51 years ago)
PAC ID
8729064837
Group Practice PAC ID
7618957135
Professional Enrollment ID
I20061002000058
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

  • PO BOX 1470

    EAGLE PASS, TX 788531470

    Phone: (830) 773-8917

    Fax: (830) 773-1892

    Type: Mailing

  • 1175, Eidson Road, Morales Circle Colonia, Eagle Pass, Maverick County, Texas, 78852, United States

    EAGLE PASS, TX 788525403

    Phone: (830) 757-6946

    Fax: (830) 757-5850

    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 78853)

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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: 7618957135View full group profile
NameSpecialtyState
Pediatric MedicineTX
P O D I A T R YTX
-TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Family PracticeTX
Mental Health CounselorTX
Internal MedicineTX
Mental Health CounselorTX
-TX
Family PracticeTX

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1306945043?
NPI 1306945043 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Eagle Pass?
Unknown Individual currently maps to Eagle Pass, Texas in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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