Unknown Individual – Family Medicine Physician, NPI 1538101571

Unknown Individual is a healthcare provider. based in Winnsboro, Texas. specializing in Family Medicine Physician. They hold a License No. L3674 (TX). The NPI Number for Unknown Individual is 1538101571

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538101571
Phone
(903) 342-3760
Address
719 W Coke Rd Ste 3
Deactivation Date
8 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
7139554510
Graduation Year
2000 (26 years ago)
PAC ID
0345222360
Group Practice PAC ID
7012291958
Professional Enrollment ID
I20040603000806
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 719 W Coke Rd Ste 3

    Winnsboro, TX 754943060

    Phone: (903) 342-3760

    Type: Location

  • 502 E Goode St Ste 1E

    Quitman, TX 757832539

    Phone: (903) 763-5402

    Type: Location

  • 14141 SOUTHWEST FWY STE 500

    SUGAR LAND, TX 774783494

    Phone: (281) 356-0364

    Fax: (325) 245-4007

    Type: Location

  • 2142, Sunset Drive, San Angelo, Tom Green County, Texas, 76904, United States

    SAN ANGELO, TX 76904

    Phone: (325) 245-4111

    Fax: (325) 245-4007

    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 75494)

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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: 7012291958View full group profile
NameSpecialtyState
Family PracticeTX
-TX
Family PracticeTX
Internal Medicine, Pediatric MedicineWA
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerFL
Nurse PractitionerTX

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 1538101571.
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 Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Winnsboro, Texas may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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