Unknown Individual – Cardiovascular Disease Physician, NPI 1245228964

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Cardiovascular Disease Physician. They hold a License No. G6217 (TX). The NPI Number for Unknown Individual is 1245228964

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245228964
Phone
(817) 252-5000
Address
1300 W TERRELL AVE
Deactivation Date
29 November 2021
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

  • 1300, West Terrell Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    #500

    FORT WORTH, TX 761042800

    Phone: (817) 252-5000

    Fax: (817) 252-5060

    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 76104)

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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 1245228964 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Fort Worth, Texas may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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