Unknown Individual – Plastic and Reconstructive Surgery Physician, NPI 1811970999

Plastic and Reconstructive Surgery Physician

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Plastic and Reconstructive Surgery Physician. They hold a License No. K3201 (TX). The NPI Number for Unknown Individual is 1811970999

Main info

Organization

Inactive

36 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1811970999

Phone

(972) 331-1900

Address

11970 N CENTRAL EXPY

Deactivation Date

11 January 2023

Doctor Profile

Medical School Name

UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO

Secondary Phone

9723311900

Graduation Year

1990 (36 years ago)

PAC ID

6901829654

Group Practice PAC ID

5890894430

Professional Enrollment ID

I20070622000519

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

North Central Expressway, University Crossing PID, Dallas, TX, Dallas, Dallas County, Texas, 75206, United States
SUITE 270
DALLAS, TX 752433768
Phone: (972) 331-1900
Fax: (972) 331-1909
Type: Mailing
7777 FOREST LN STE C528
DALLAS, TX 752306848
Phone: (972) 331-1900
Fax: (972) 331-1909
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.

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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 75243)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1811970999 for Unknown Individual.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Plastic and Reconstructive Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Dallas, Texas in the same public data insurers reference.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.