Unknown Individual – Psychiatry Physician, NPI 1861498743

Unknown Individual is a healthcare provider. based in Duncanville, Texas. specializing in Psychiatry Physician. They hold a License No. E-4303 (AR). The NPI Number for Unknown Individual is 1861498743

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861498743
Phone
(972) 709-7556
Address
407 N. CEDER RIDGE
Deactivation Date
26 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
3779510623
Professional Enrollment ID
I20100909000580
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 407 N. CEDER RIDGE

    SUITE 230

    DUNCANVILLE, TX 75116

    Phone: (972) 709-7556

    Fax: (972) 709-7611

    Type: Location

  • P.O. BOX 687

    DESOTO, TX 75123

    Phone: (972) 709-7556

    Fax: (972) 709-7611

    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.

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 75116)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1861498743 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Duncanville, Texas for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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