Unknown Individual – Surgical Physician Assistant, NPI 1124068051

Unknown Individual is a healthcare provider. based in Allen, Texas. specializing in Surgical Physician Assistant. They hold a License No. PA00669 (TX). The NPI Number for Unknown Individual is 1124068051

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124068051
Phone
(972) 727-9995
Address
1105 CENTRAL EXPY N
Deactivation Date
12 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

  • Texas Health Allen, 1105, Central Expressway North, Cottonwood Creek, Allen, Collin County, Texas, 75013, United States

    STE 120

    ALLEN, TX 750136103

    Phone: (972) 727-9995

    Fax: (972) 727-8350

    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 75013)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1124068051 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Allen, Texas for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1124068051. Always confirm identity and privileges with the practice and licensing boards.

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