Unknown Individual – Urology Physician, NPI 1336238088

Unknown Individual is a healthcare provider. based in Coldspring, Texas. specializing in Urology Physician. They hold a License No. E5481 (TX). The NPI Number for Unknown Individual is 1336238088

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336238088
Phone
(936) 653-5453
Address
PO BOX 99
Deactivation Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813597750
Graduation Year
1970 (56 years ago)
PAC ID
2961494109
Professional Enrollment ID
I20040330001586
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 99

    COLDSPRING, TX 773310099

    Phone: (936) 653-5453

    Fax: (936) 653-2406

    Type: Mailing

  • Kingwood Medical Drive, Houston, Montgomery County, Texas, 77339-1510, United States

    STE A450

    KINGWOOD, TX 773396027

    Phone: (281) 359-7750

    Fax: (281) 359-6879

    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 77331)

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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 1336238088.
Is Unknown Individual still active if the NPI shows inactive?
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 Urology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Coldspring, Texas as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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