Unknown Individual – Orthopaedic Surgery Physician, NPI 1073598926

Unknown Individual is a healthcare provider. based in San angelo, Texas. specializing in Orthopaedic Surgery Physician. They hold a License No. D3377 (TX). The NPI Number for Unknown Individual is 1073598926

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073598926
Phone
(325) 658-1511
Address
PO BOX 22000
Deactivation Date
4 March 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

  • San Angelo, Villa Residencial Santa Fe 3ra Sección, Pórticos de San Antonio, Municipio de Tijuana, Baja California, 22664, Mexico

    SAN ANGELO, TX 769027200

    Phone: (325) 658-1511

    Type: Mailing

  • 4450, Sunset Drive, Sunset, San Angelo, Tom Green County, Texas, 76901, United States

    SAN ANGELO, TX 76904

    Phone: (325) 658-1511

    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.

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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 76902)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1073598926 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use San Angelo, Texas as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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