Unknown Individual – Family Medicine Physician, NPI 1922012129

Unknown Individual is a healthcare provider. based in Seminole, Texas. specializing in FAMILY PRACTICE. They hold a License No. G6770 (TX). The NPI Number for Unknown Individual is 1922012129

Main info

Organization
Inactive
43 Years Of Experience
Name
Unknown Individual
NPI
1922012129
Phone
(432) 758-3267
Address
208 NW 8TH ST
Deactivation Date
23 April 2026

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4327583267
Graduation Year
1983 (43 years ago)
PAC ID
8628092343
Professional Enrollment ID
I20060120000747
Address ID
TX793603411SE208XXSTXX400
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

8,705 FAMILY PRACTICE in TX

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Provider Addresses for Unknown Individual

  • 208, Northwest 8th Street, Russell Addition, Seminole, Gaines County, Texas, 79360, United States

    SEMINOLE, TX 793603448

    Phone: (432) 758-3267

    Fax: (432) 758-4970

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes690154$0
J0696Injection, ceftriaxone sodium, per 250 mg17322$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4613$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a3820$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3712$0
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Insurance plans in this area (ZIP 79360)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1922012129.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Seminole, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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