Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1538164512

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. K9929 (TX). The NPI Number for Unknown Individual is 1538164512

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538164512
Phone
(806) 743-2898
Address
PO BOX 5865
Deactivation Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067432800
Graduation Year
1985 (41 years ago)
PAC ID
2264494269
Group Practice PAC ID
4385549674
Professional Enrollment ID
I20041102000404
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

Loading map...

Provider Addresses for Unknown Individual

  • PO BOX 5865

    LUBBOCK, TX 794085865

    Phone: (806) 743-2898

    Fax: (806) 743-3596

    Type: Mailing

  • Texas Tech Health Sciences Center, 3601, 4th Street, Lubbock, Texas, 79415, United States

    1A115

    LUBBOCK, TX 794300002

    Phone: (806) 743-2155

    Fax: (806) 743-2117

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 79408)

Loading plans...

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: 4385549674View full group profile
NameSpecialtyState
Interventional CardiologyPA
A N E S T H E S I O L O G YTX
-TX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Family PracticeTX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1538164512 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lubbock, Texas may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

DR. SUZANNE CAROL GRAHAM (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States
NPI: 1245233188

DALE MICHAEL DUNN (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Texas Tech Health Sciences Center, 3601, 4th Street, Lubbock, Texas, 79415, United States
NPI: 1437152170

DR. RUC MANH TRAN (M.D.)

Anatomic Pathology & Clinical Pathology Physician
PO BOX 5865
NPI: 1144223546

DR. MELISSA BLANN (MD)

Anatomic Pathology & Clinical Pathology Physician
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
NPI: 1396725446

DR. SURENDER R BODHIREDDY (MD)

Anatomic Pathology & Clinical Pathology Physician
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
NPI: 1558341602

DR. BRIDGET G. HEINEN (MD)

Anatomic Pathology & Clinical Pathology Physician
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
NPI: 1891775946

DR. HUGH H PAIK (MD)

Anatomic Pathology & Clinical Pathology Physician
7111, Fairway Drive, PGA National, Palm Beach Gardens, Palm Beach County, Florida, 33418, United States
NPI: 1053391128

DR. SESHADRI D THIRUMALA (MD)

Anatomic Pathology & Clinical Pathology Physician
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
NPI: 1265412340

DR. LOLA B WINDISCH (MD)

Anatomic Pathology & Clinical Pathology Physician
14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
NPI: 1790765881