Unknown Individual – Primary Care Nurse Practitioner, NPI 1407816762

Primary Care Nurse Practitioner

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Primary Care Nurse Practitioner. They hold a License No. 659246 (TX). The NPI Number for Unknown Individual is 1407816762

Main info

Organization

Inactive

28 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1407816762

Phone

(214) 645-0624

Address

PO BOX 845347

Deactivation Date

16 April 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1998 (28 years ago)

PAC ID

7113062217

Group Practice PAC ID

0648188250

Professional Enrollment ID

I20100301000393

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

Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752845347
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Mailing
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
DALLAS, TX 753908889
Phone: (214) 648-7204
Fax: (214) 648-2087
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 75284)

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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: 0648188250View full group profile

Name	Specialty	State
DR. ALECIA CURLENE NERO (M.D.)	-	TX
FIROUZEH ARJMANDI (M.D.)	Diagnostic Radiology	TX
LISA GU (M.D.)	Anesthesiology, Pain Management	FL
BRETT D ARNOLDO (MD)	-	TX
DR. ANAMIKA GOENKA (MD)	Internal Medicine	TX
MRS. BRENDA S. THOMPSON (ACNS-BC)	-	TX
BRUCE JEREMY SCHLOMER (MD)	U R O L O G Y	TX
PREETHA NAIR (M.D.)	-	TX
MRS. SHARON RENEE HOSKIN (NP)	-	TX
RADHA L VENKATESAN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1407816762 uniquely identifies Unknown Individual in U.S. healthcare data.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What city is tied to Unknown Individual?

The directory associates Unknown Individual with Dallas, Texas. Check all listed addresses for suites or satellite offices.

Who maintains Unknown Individual's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.