Unknown Individual – Infectious Disease Physician, NPI 1346218203

Unknown Individual is a healthcare provider. based in El paso, Texas. specializing in Infectious Disease Physician. They hold a License No. K0956 (TX). The NPI Number for Unknown Individual is 1346218203

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346218203
Phone
(915) 569-2723
Address
5005 N. PIEDRAS ST , ATTN; CREDENTIALS OFFICE
Deactivation Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9155338544
Graduation Year
1981 (45 years ago)
PAC ID
9638357361
Group Practice PAC ID
4880657386
Professional Enrollment ID
I20110629000308
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

  • 5005 N. PIEDRAS ST , ATTN; CREDENTIALS OFFICE

    WILLIAM BEAUMONT ARMY MEDICAL CENTER

    EL PASO, TX 799205001

    Phone: (915) 569-2723

    Type: Mailing

  • William Beaumont Army Medical Center, 5005, North Piedras Street, El Paso, El Paso County, Texas, 79930, United States

    WILLIAM BEAUMONT ARMY MEDICAL CENTER

    EL PASO, TX 799205001

    Phone: (915) 569-2723

    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.

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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 79920)

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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: 4880657386View full group profile

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1346218203.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Infectious Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is El Paso, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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