Unknown Individual – Family Medicine Physician, NPI 1972503217

Unknown Individual is a healthcare provider. based in Mcallen, Texas. specializing in Family Medicine Physician. They hold a License No. D6924 (TX). The NPI Number for Unknown Individual is 1972503217

Main info

Organization
Inactive
68 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972503217
Phone
(956) 686-4040
Address
110 E SAVANNAH AVE BLDG A203
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9566864040
Graduation Year
1958 (68 years ago)
PAC ID
4587856950
Group Practice PAC ID
0648289215
Professional Enrollment ID
I20101005000303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 110 E SAVANNAH AVE BLDG A203

    MCALLEN, TX 785031239

    Phone: (956) 686-4040

    Fax: (956) 686-2936

    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 78503)

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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: 0648289215View full group profile
NameSpecialtyState
Family PracticeTX

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1972503217.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Mcallen, Texas in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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