Unknown Individual – Specialist, NPI 1487650552

Unknown Individual is a healthcare provider. based in Flower mound, Texas. specializing in Specialist. They hold a License No. E1366 (TX). The NPI Number for Unknown Individual is 1487650552

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487650552
Phone
(972) 539-4875
Address
2609 SAGEBRUSH DR
Deactivation Date
14 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
4486700101
Professional Enrollment ID
I20101110000597
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

  • Sagebrush Drive, Flower Mound, Denton County, Texas, 75028, United States

    SUITE 101

    FLOWER MOUND, TX 750282733

    Phone: (972) 539-4875

    Fax: (972) 539-3488

    Type: Location

  • 2609, Sagebrush Drive, Flower Mound, Denton County, Texas, 75028, United States

    SUITE 101

    FLOWER MOUND, TX 750282733

    Phone: (972) 539-4875

    Fax: (972) 539-3488

    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.

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 75028)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX90670Pneumococcal vaccine for injection into muscle1111

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1487650552 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Other Service Providers. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Flower Mound, Texas for Unknown Individual based on available NPPES addresses.
What if Flower Mound, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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