Unknown Individual – General Practice Physician, NPI 1083726970
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1608, FM 700, Mountain Park, Big Spring, Howard County, Texas, 79720, United States
STE A
BIG SPRING, TX 797204113
Phone: (615) 778-8544
Fax: (615) 628-6877
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)
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Medicare Enrollment & Revalidation
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79720)
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