Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1922302926

Certified Registered Nurse Anesthetist

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 270353-3102 (UT). The NPI Number for Unknown Individual is 1922302926

Main info

Organization

Inactive

16 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1922302926

Phone

(972) 715-5000

Address

13601 PRESTON RD

Deactivation Date

19 January 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5058411234

Graduation Year

2010 (16 years ago)

PAC ID

7113103359

Group Practice PAC ID

4385536564

Professional Enrollment ID

I20110524000065

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

13601 PRESTON RD
SUITE 1000W
DALLAS, TX 752404911
Phone: (972) 715-5000
Fax: (972) 715-5015
Type: Mailing
2100 N. MARTIN LUTHER KING JR BLVD
CLOVIS, NM 88101
Phone: (972) 715-5000
Fax: (972) 715-5015
Type: Location

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 75240)

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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: 4385536564View full group profile

Name	Specialty	State
DR. JOHN C MULLICAN (M.D.)	A N E S T H E S I O L O G Y	NM
KAREN DONCOUSE (CRNA)	-	ID
MS. KAREN LU COLVIN (C.R.N.A.)	-	WI
SALVADOR GUERRERO	Certified Registered Nurse Anesthetist (Crna)	MI
COLIN COULSON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	CO
DR. DOUGLAS L. BROWN (M.D.)	A N E S T H E S I O L O G Y	NM
DR. BARBARA A PERO (M.D.)	A N E S T H E S I O L O G Y	NM
GENEVA CARTER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	NM
MARY ANNE DOMRZALSKI (CRNA)	-	NM
ADAM KYNASTON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	IN

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?

For Unknown Individual, use NPI 1922302926 as the unique 10-digit identifier.

Is inactive the same as retired for Unknown Individual?

Inactive registry status can reflect deactivation, consolidation, or data lag.

How would a patient describe Unknown Individual's focus?

For Unknown Individual, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What practice footprint exists for Unknown Individual?

Travel planning: use Dallas, Texas as the reference point for Unknown Individual, then confirm.

What does 2 location(s) imply?

2 practice locations appear in the available data.