Unknown Individual – Neurological Surgery Physician, NPI 1063887362

Unknown Individual is a healthcare provider. based in Frisco, Texas. specializing in Neurological Surgery Physician. They hold a License No. L6615 (TX). The NPI Number for Unknown Individual is 1063887362

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063887362
Phone
(972) 377-9200
Address
4461 COIT RD
Deactivation Date
24 January 2024
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

  • 4461 COIT RD

    405

    FRISCO, TX 75035

    Phone: (972) 377-9200

    Type: Mailing

  • 300 S. NOLEN DR

    STE 140

    SOUTHLAKE, TX 76092

    Phone: (972) 987-5600

    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.

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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 75035)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1063887362 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Frisco, Texas as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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