Unknown Individual – Anesthesiology Physician, NPI 1336123397

Unknown Individual is a healthcare provider. based in Athens, Texas. specializing in Anesthesiology Physician. They hold a License No. G2350 (TX). The NPI Number for Unknown Individual is 1336123397

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336123397
Phone
(903) 677-1000
Address
PO BOX 2127
Deactivation Date
21 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037232465
Graduation Year
1978 (48 years ago)
PAC ID
6507850930
Group Practice PAC ID
6002800448
Professional Enrollment ID
I20090519000156
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

  • Box, 4, Κωλέττη, Exarcheia, Athens, Municipality of Athens, Regional Unit of Central Athens, Attica, 106 81, Greece

    ATHENS, TX 757517127

    Phone: (903) 677-1000

    Fax: (903) 677-5586

    Type: Mailing

  • 510, East Clinton Avenue, Athens, Henderson County, Texas, 75751, United States

    ATHENS, TX 757513410

    Phone: (903) 677-1000

    Fax: (903) 677-1694

    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.

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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.

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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 75751)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1336123397.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Athens?
Public fields place Unknown Individual around Athens, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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