Unknown Individual – Obstetrics & Gynecology Physician, NPI 1174515852

Obstetrics & Gynecology Physician

Unknown Individual is a healthcare provider. based in Henderson, Texas. specializing in Obstetrics & Gynecology Physician. They hold a License No. 11474 (TX). The NPI Number for Unknown Individual is 1174515852

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1174515852

Phone

(903) 657-8851

Address

105 N HIGH ST

Deactivation Date

1 March 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

105, High Street, Henderson, Vance County, North Carolina, 27536, United States
HENDERSON, TX 756523133
Phone: (903) 657-8851
Fax: (903) 657-1674
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 75652)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?

The federal identifier for Unknown Individual is NPI 1174515852.

What is the next step if Unknown Individual is inactive?

Treat inactive as a signal to verify Unknown Individual through official channels.

What field does Unknown Individual work in?

You can think of Unknown Individual as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Henderson, Texas because that is what the record indicates for Unknown Individual.

What if Henderson, Texas seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.