Unknown Individual – Obstetrics & Gynecology Physician, NPI 1669784435
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2520 E MAIN ST
ALICE, TX 783324189
Phone: (361) 661-8390
Fax: (361) 661-8395
Type: Mailing
2520 E MAIN ST STE 206
ALICE, TX 783324188
Phone: (361) 661-8390
Fax: (361) 661-8395
Type: Location
501 Midwestern Pkwy E
Wichita Falls, TX 763022302
Phone: (940) 766-8670
Fax: (940) 766-8711
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Biogen, Inc. ($21).
Total Amount
$73
General + Research + Ownership
Payments
4
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biogen, Inc. | $21 |
| PFIZER INC. | $20 |
| Sumitomo Pharma America, Inc. | $19 |
| MILLICENT US INC | $13 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 12 | $0 |
Insurance plans in this area (ZIP 78332)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Family Practice | TX |
Reviews
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