Unknown Individual – Marriage & Family Therapist, NPI 1104863802

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Marriage & Family Therapist. They hold a License No. 4274 (TX). The NPI Number for Unknown Individual is 1104863802

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104863802
Phone
(210) 731-1300
Address
3031 IH 10 W
Deactivation Date
9 May 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

  • 3031, Interstate 10 West, Fulton, San Antonio, Bexar County, Texas, 78201, United States

    SAN ANTONIO, TX 782015159

    Phone: (210) 731-1300

    Fax: (210) 738-8025

    Type: Mailing

  • 233, East Mitchell Street, San Antonio, Bexar County, Texas, 78210, United States

    SAN ANTONIO, TX 782103844

    Phone: (210) 731-1300

    Fax: (210) 738-8025

    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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 78201)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1104863802?
NPI 1104863802 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Marriage & Family Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use San Antonio, Texas as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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