Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1083689616

Unknown Individual is a healthcare provider. based in Midland, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 239601 (TX). The NPI Number for Unknown Individual is 1083689616

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083689616
Phone
(432) 520-0291
Address
2706 W CUTHBERT
Deactivation Date
17 May 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

  • Cuthbert Avenue, Fairgrounds, Midland, Midland County, Texas, 79701, United States

    BLDG B STE 100

    MIDLAND, TX 79701

    Phone: (432) 520-0291

    Fax: (432) 520-2181

    Type: Location

  • Midland Post Office, 831, Midland Avenue, Midland, Beaver County, Pennsylvania, 15059, United States

    MIDLAND, TX 797044157

    Phone: (432) 520-0291

    Fax: (432) 520-2181

    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.

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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 79701)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1083689616?
NPI 1083689616 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Midland, 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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