Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1730284761

Unknown Individual is a healthcare provider. based in Eagle pass, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 440034 (TX). The NPI Number for Unknown Individual is 1730284761

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730284761
Phone
(830) 773-5321
Address
3333 N FOSTER MALDONADO BLVD
Deactivation Date
13 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9407647000
Graduation Year
1982 (44 years ago)
PAC ID
2769447606
Group Practice PAC ID
7012259260
Professional Enrollment ID
I20041119000857
Data current as of
19 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

  • Foster Maldonado Boulevard, Eagle Pass, Maverick County, Texas, 78853, United States

    EAGLE PASS, TX 788525893

    Phone: (830) 773-5321

    Type: Location

  • Río Road, Eagle Pass, Maverick County, Texas, 78852, United States

    POB 2948

    EAGLE PASS, TX 788523383

    Phone: (830) 968-6171

    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.

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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 78852)

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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: 7012259260View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OK
-TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
-TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1730284761; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Eagle Pass, Texas for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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