Unknown Individual – Emergency Medicine Physician, NPI 1982682654

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Emergency Medicine Physician. They hold a License No. H2376 (TX). The NPI Number for Unknown Individual is 1982682654

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982682654
Phone
(806) 725-5844
Address
3420 22ND PL
Deactivation Date
20 December 2020

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8067251011
Graduation Year
1986 (40 years ago)
PAC ID
5193774537
Group Practice PAC ID
6901889393
Professional Enrollment ID
I20050112001070
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

  • 22nd Place, Heart of Lubbock, Lubbock, Texas, 79411, United States

    LUBBOCK, TX 794101314

    Phone: (806) 725-5844

    Fax: (806) 723-6532

    Type: Mailing

  • Covenant Medical Center, 3615, 19th Street, Lubbock, Texas, 79410, United States

    LUBBOCK, TX 794101203

    Phone: (806) 725-4479

    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 79410)

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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: 6901889393View full group profile
NameSpecialtyState
N E U R O S U R G E R YTX
H E M A T O L O G Y/ O N C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Diagnostic RadiologyTX
Internal MedicineTX
-TX
Physician AssistantTX
N E U R O S U R G E R YTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1982682654.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Lubbock, Texas as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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