Unknown Individual – Psychiatry Physician, NPI 1053339440

Unknown Individual is a healthcare provider. based in Boerne, Texas. specializing in Psychiatry Physician. They hold a License No. H6499 (TX). The NPI Number for Unknown Individual is 1053339440

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053339440
Phone
(210) 827-2412
Address
PO BOX 1318
Deactivation Date
3 January 2022
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

  • Boerne Post Office, East San Antonio Avenue, Boerne, Kendall County, Texas, 78006, United States

    BOERNE, TX 780061318

    Phone: (210) 827-2412

    Type: Mailing

  • 114, Trade Avenue, Boerne North Business Park, Boerne, Kendall County, Texas, 78006, United States

    BOERNE, TX 780063001

    Phone: (210) 827-2412

    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 78006)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1053339440 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Boerne, Texas may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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