Unknown Individual – Neurological Surgery Physician, NPI 1235122193

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Neurological Surgery Physician. They hold a License No. 31096 (AZ). The NPI Number for Unknown Individual is 1235122193

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235122193
Phone
(817) 336-0551
Address
1000 HOUSTON ST
Deactivation Date
9 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1000, Houston Street, Downtown Fort Worth, Fort Worth, Tarrant County, Texas, 76102, United States

    SUITE 200

    FORT WORTH, TX 761026415

    Phone: (817) 336-0551

    Fax: (817) 339-3940

    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 76102)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1235122193 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Fort Worth, Texas as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.