Unknown Individual – Otolaryngology Physician, NPI 1942258371

Unknown Individual is a healthcare provider. based in Arlington, Texas. specializing in Otolaryngology Physician. They hold a License No. TXG3047 (TX). The NPI Number for Unknown Individual is 1942258371

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942258371
Phone
(817) 261-9191
Address
409 CENTRAL PARK DR
Deactivation Date
12 May 2021

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
8172619191
Graduation Year
1982 (44 years ago)
PAC ID
6608030630
Group Practice PAC ID
3476655077
Professional Enrollment ID
I20120604000225
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

  • 409, Central Park Drive, Arlington, Tarrant County, Texas, 76014, United States

    ARLINGTON, TX 760142069

    Phone: (817) 261-9191

    Fax: (817) 784-8301

    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 76014)

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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: 3476655077View full group profile
NameSpecialtyState
Qualified AudiologistTX
Physician AssistantMA
-TX
O T O L A R Y N G O L O G YTX
O T O L A R Y N G O L O G YKY
-TX
O T O L A R Y N G O L O G YTX

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1942258371.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Arlington, Texas may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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