Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1003974593

Unknown Individual is a healthcare provider. based in Galveston, Texas. specializing in Child & Adolescent Psychiatry Physician. They hold a License No. D0908 (TX). The NPI Number for Unknown Individual is 1003974593

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003974593
Phone
(409) 772-2222
Address
301 UNIVERSITY BLVD
Deactivation Date
30 October 2024
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

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Provider Addresses for Unknown Individual

  • 301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 775555302

    Phone: (409) 772-2222

    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 77555)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1003974593 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Galveston, Texas?
If you are local to Galveston, Texas, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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