Unknown Individual – Pediatric Pulmonology Physician, NPI 1083721377

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Pediatric Pulmonology Physician. They hold a License No. J9135 (TX). The NPI Number for Unknown Individual is 1083721377

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083721377
Phone
(210) 614-9830
Address
3619 PAESANOS PARKWAY
Deactivation Date
19 April 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

  • Paesanos Parkway, Shavano Park, Bexar County, Texas, 78231, United States

    SUITE 212

    SAN ANTONIO, TX 782311255

    Phone: (210) 614-9830

    Fax: (210) 614-9831

    Mailing address matches the actual address.

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 78231)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1083721377.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Pediatric Pulmonology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is San Antonio, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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