Unknown Individual – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1134304058

Unknown Individual is a healthcare provider. based in Pearland, Texas. specializing in Addiction Medicine (Psychiatry & Neurology) Physician. They hold a License No. D6502 (TX). The NPI Number for Unknown Individual is 1134304058

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1134304058
Phone
(832) 780-3960
Address
2620 CULLEN PKWY
Deactivation Date
19 March 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2620 CULLEN PKWY

    STE 216

    PEARLAND, TX 775819008

    Phone: (832) 780-3960

    Type: Mailing

  • Fulton Street, Houston, Harris County, Texas, 77022, United States

    HOUSTON, TX 770097836

    Phone: (713) 228-4505

    Fax: (713) 228-3007

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Braeburn Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Braeburn Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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 77581)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1134304058 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Addiction Medicine (Psychiatry & Neurology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Pearland, Texas may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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