Unknown Individual – Psychiatry Physician, NPI 1205232261

Unknown Individual is a healthcare provider. based in Boerne, Texas. specializing in Psychiatry Physician. They hold a License No. E4480 (TX). The NPI Number for Unknown Individual is 1205232261

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205232261
Phone
(210) 782-8071
Address
306 OAK PARK DR
Deactivation Date
8 May 2024
Data current as of
20 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

  • 306 OAK PARK DR

    BOERNE, TX 780062923

    Phone: (210) 782-8071

    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.

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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 78006)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1205232261.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Boerne?
Unknown Individual currently maps to Boerne, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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