Unknown Individual – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1336351279

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Hospice and Palliative Medicine (Internal Medicine) Physician. They hold a License No. 17733 (PR). The NPI Number for Unknown Individual is 1336351279

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336351279
Phone
(210) 587-7965
Address
5460 BABCOCK RD STE 120
Deactivation Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2102391831
Graduation Year
2004 (22 years ago)
PAC ID
8921132416
Group Practice PAC ID
8022247113
Professional Enrollment ID
I20110304000676
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Babcock Road, South Texas Medical Center, San Antonio, Bexar County, Texas, 78240, United States

    SAN ANTONIO, TX 782403905

    Phone: (210) 587-7965

    Fax: (210) 587-7968

    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 78240)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1336351279 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface San Antonio, Texas for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1336351279. Always confirm identity and privileges with the practice and licensing boards.

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