Unknown Individual – Family Medicine Physician, NPI 1124028485

Unknown Individual is a healthcare provider. based in Pasadena, Texas. specializing in Family Medicine Physician. They hold a License No. F0303 (TX). The NPI Number for Unknown Individual is 1124028485

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124028485
Phone
(713) 910-6464
Address
3339 FAIRVIEW ST
Deactivation Date
22 September 2021
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

  • 3339, Fairview Street, Pasadena, Harris County, Texas, 77504, United States

    PASADENA, TX 775041903

    Phone: (713) 910-6464

    Fax: (713) 910-6995

    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.

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 77504)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1124028485 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Pasadena, Texas?
For routing, start with Pasadena, Texas for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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