Unknown Individual – Audiologist, NPI 1700033800

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Audiologist. They hold a License No. 51307 (TX). The NPI Number for Unknown Individual is 1700033800

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700033800
Phone
Not provided
Address
3811 24TH ST
Deactivation Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067960202
Graduation Year
1998 (28 years ago)
PAC ID
5092865238
Group Practice PAC ID
3577610369
Professional Enrollment ID
I20090610000468
Data current as of
20 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

  • 3811, 24th Street, Maxey Park, Lubbock, Texas, 79410, United States

    LUBBOCK, TX 794101813

    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)

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.

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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 79410)

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Provider's Procedures

Unknown Individual performs procedures in Audiologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTTX92540Observation, testing, and recording of abnormal eye movement2222

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: 3577610369View full group profile
NameSpecialtyState
Qualified AudiologistTX
Otolaryngology, Allergy/ImmunologyTX

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1700033800 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Audiologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Lubbock, Texas?
If you are local to Lubbock, Texas, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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