Unknown Individual – Speech-Language Assistant, NPI 1053630939

Unknown Individual is a healthcare provider. based in Tyler, Texas. specializing in Speech-Language Assistant. They hold a License No. 33423 (TX). The NPI Number for Unknown Individual is 1053630939

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053630939
Phone
Not provided
Address
4055 HOGAN DR
Deactivation Date
9 August 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4055 HOGAN DR

    # 207

    TYLER, TX 757096930

    Phone:

    Type: Mailing

  • 4801 TROUP HWY

    STE 800

    TYLER, TX 757032356

    Phone: (903) 939-2800

    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 75709)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1053630939 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Speech-Language Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Tyler, Texas for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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