Unknown Individual – Family Medicine Physician, NPI 1548459639

Unknown Individual is a healthcare provider. based in Seymour, Texas. specializing in Family Medicine Physician. They hold a License No. M8025 (TX). The NPI Number for Unknown Individual is 1548459639

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548459639
Phone
Not provided
Address
201 STADIUM DR
Deactivation Date
20 December 2023

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
9408885572
Graduation Year
2006 (20 years ago)
PAC ID
9739246612
Group Practice PAC ID
6103739222
Professional Enrollment ID
I20150320002129
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Seymour Rural Health Clinic, 201, Stadium Drive, Seymour, Baylor County, Texas, 76380, United States

    SEYMOUR, TX 763802343

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $725.

Total Amount is formed as General ($725) + Research ($0) + Ownership ($0) = $725.

Last reported payment date: 2023-04-30 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($725).

Total Amount

$725

General + Research + Ownership

Payments

3

Total payment records

General Amount

$725

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$725
View all Open Payments →|Open Payments Risk Radar →

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 76380)

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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: 6103739222View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family Practice, Obstetrics/GynecologyTX
Emergency Medicine, Family Practice, General SurgeryTX
Family PracticeTX
Nurse PractitionerFL
Nurse PractitionerTX
Nephrology, Internal MedicineTX
Family PracticeTX
Family PracticeFL
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 1548459639.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Seymour, Texas in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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