Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1386629533

Unknown Individual is a healthcare provider. based in Laredo, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. K3414 (TX). The NPI Number for Unknown Individual is 1386629533

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386629533
Phone
(956) 796-2151
Address
1700 E SAUNDERS ST
Deactivation Date
17 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
9133138688
Professional Enrollment ID
I20110712000760
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Laredo Medical Center, 1700, East Saunders Street, Laredo, Webb County, Texas, 78041, United States

    LAREDO, TX 780415474

    Phone: (956) 796-2151

    Type: Location

  • 302, Lake Louise Court, Lakeside, Laredo, Webb County, Texas, 78041, United States

    LAREDO, TX 780411926

    Phone: (956) 712-1215

    Fax: (956) 712-1685

    Type: Mailing

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 78041)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTX88307Pathology examination of tissue using a microscope, moderately high complexity197165
PATHOLOGYTX88312Special stained specimen slides to identify organisms including interpretation and report1613
PATHOLOGYTX88342Tissue or cell analysis by immunologic technique442339

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1386629533 on file in the registry.
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 Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Laredo?
Public fields place Unknown Individual around Laredo, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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