Unknown Individual – Interventional Pain Medicine Physician, NPI 1063868768

Unknown Individual is a healthcare provider. based in Gainesville, Texas. specializing in Interventional Pain Medicine Physician. The NPI Number for Unknown Individual is 1063868768

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063868768
Phone
(940) 612-8760
Address
2024 W HIGHWAY 82
Deactivation Date
2 April 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2024 W HIGHWAY 82

    GAINESVILLE, TX 762402051

    Phone: (940) 612-8760

    Fax: (940) 665-0209

    Type: Location

  • 6110, Dalrock Road, Rowlett, Dallas County, Texas, 75088, United States

    ROWLETT, TX 750884402

    Phone: (972) 526-5444

    Fax: (972) 402-5888

    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.

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 76240)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1063868768 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Interventional Pain Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Gainesville, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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