Unknown Individual – Allergy & Immunology Physician, NPI 1841236106

Allergy & Immunology Physician

Unknown Individual is a healthcare provider. based in Victoria, Texas. specializing in Allergy & Immunology Physician. They hold a License No. F2868 (TX). The NPI Number for Unknown Individual is 1841236106

Main info

Organization

Inactive

52 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1841236106

Phone

(361) 573-0713

Address

3901 N NAVARRO ST

Deactivation Date

8 May 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9795439665

Graduation Year

1974 (52 years ago)

PAC ID

5193812121

Group Practice PAC ID

3476640400

Professional Enrollment ID

I20100304000662

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

3901, North Navarro Street, Victoria, Victoria County, Texas, 77901, United States
VICTORIA, TX 779012622
Phone: (361) 573-0713
Fax: (361) 575-2215
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.

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 77901)

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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: 3476640400View full group profile

Name	Specialty	State
MRS. KATIE NADINE OLSON	-	TX
BEVERLY CLAIRE HALIBURTON (RN FNPC)	-	TX
SUSAN DELAINE HALL (P.A.C.)	-	TX

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1841236106 is assigned to Unknown Individual under the national enumeration system.

Should I trust care from Unknown Individual if status is inactive?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

Does Unknown Individual list a primary specialty?

If you are matching referrals, note Allergy & Immunology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.

Where does public data place Unknown Individual?

The snapshot lists Victoria, Texas for Unknown Individual; download NPPES for the complete set.

How can I contact Unknown Individual?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.