Unknown Individual – Family Medicine Physician, NPI 1265435366

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Family Medicine Physician. They hold a License No. D0378 (TX). The NPI Number for Unknown Individual is 1265435366

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265435366
Phone
(903) 324-6400
Address
PO BOX 846098
Deactivation Date
5 August 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

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States of America

    DALLAS, TX 752846098

    Phone: (903) 324-6400

    Type: Mailing

  • Grapeland, Houston County, Texas, United States of America

    GRAPELAND, TX 75855

    Phone: (903) 731-4700

    Type: Location

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 75284)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX83036Hemoglobin A1C level9840

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1265435366 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Dallas, Texas on file for Unknown Individual alongside any extra practice locations.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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