Unknown Individual – Urology Physician, NPI 1053428557

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Urology Physician. They hold a License No. C-8349 (TX). The NPI Number for Unknown Individual is 1053428557

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053428557
Phone
(214) 857-2263
Address
4500 S LANCASTER RD
Deactivation Date
11 January 2023
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

  • Dallas VA Medical Center, 4500, South Lancaster Road, Dallas, TX, Dallas, Dallas County, Texas, 75216, United States

    DALLAS, TX 752167167

    Phone: (214) 857-2263

    Type: Location

  • 600, Crockett Circle, Paris, Lamar County, Texas, 75460, United States

    PO BOX 6278

    PARIS, TX 754606249

    Phone: (903) 785-3577

    Type: Mailing

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.

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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 75216)

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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 1053428557 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 Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Dallas, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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