Unknown Individual – Family Medicine Physician, NPI 1467409334

Unknown Individual is a healthcare provider. based in Wichita falls, Texas. specializing in Family Medicine Physician. They hold a License No. 35-066806 (OH). The NPI Number for Unknown Individual is 1467409334

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467409334
Phone
(940) 689-8234
Address
3508 STIRLING ST
Deactivation Date
25 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8064675804
Graduation Year
1982 (44 years ago)
PAC ID
4880649821
Group Practice PAC ID
0042303232
Professional Enrollment ID
I20050423000009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3508, Stirling Street, Lake Wellington Estates, Wichita Falls, Wichita County, Texas, 76310, United States

    WICHITA FALLS, TX 763101723

    Phone: (940) 689-8234

    Type: Mailing

  • 1301, 3rd Street, Wichita Falls, Wichita County, Texas, 76301, United States

    SUITE 200

    WICHITA FALLS, TX 763012245

    Phone: (940) 767-5145

    Fax: (940) 767-3027

    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 76310)

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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: 0042303232View full group profile
NameSpecialtyState
MS. MARTHA E FLORES (N.P.)
Nurse PractitionerTX
DR. STEPHEN DONALD SCOGGIN (M.D.)
General SurgeryTX
TRISTEN BAYLEE WEST (APRN, FNP-C)
Nurse PractitionerTX
CALLIE SHANE RHOTON (M.D.)
O B S T E T R I C S/ G Y N E C O L O G YTX
MRS. LETICIA R. CHAVEZ (RN,FNP,BC)
Nurse PractitionerTX
MONICA MARSHALL
Nurse PractitionerTX
MR. SCOTT S GORDON (PA)
Physician AssistantTX
MR. WALLACE MANN (MD)
Family PracticeTX
Unknown Individual
-TX
HARVEY III RICHEY (D.O.)
-TX

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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 1467409334.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Wichita Falls, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.