Unknown Individual – Anesthesiology Physician, NPI 1124091624

Unknown Individual is a healthcare provider. based in Fort sam houston, Texas. specializing in Anesthesiology Physician. They hold a License No. L4163 (TX). The NPI Number for Unknown Individual is 1124091624

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124091624
Phone
(210) 916-2460
Address
3851 ROGER BROOKE DR
Deactivation Date
25 October 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

Provider Addresses for Unknown Individual

  • 3851 ROGER BROOKE DR

    MCHE-QD (CREDS)

    FORT SAM HOUSTON, TX 782344501

    Phone: (210) 916-2460

    Type: Location

  • 9102, Granberry Pass, Springwood, Universal City, Bexar County, Texas, 78148, United States

    UNIVERSAL CITY, TX 781484633

    Phone: (210) 658-0922

    Fax: (210) 659-3011

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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 78234)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1124091624 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Fort Sam Houston, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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