Unknown Individual – Primary Care Clinic/Center, NPI 1275719122

Primary Care Clinic/Center

Unknown Individual is a healthcare provider. based in Plano, Texas. specializing in Primary Care Clinic/Center. They hold a License No. J2130 (TX). The NPI Number for Unknown Individual is 1275719122

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1275719122

Phone

(972) 596-0006

Address

4104 W 15TH ST

Deactivation Date

29 September 2025

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

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Provider Addresses for Unknown Individual

4104, West 15th Street, Plano, Collin County, Texas, 75093, United States
SUITE 101
PLANO, TX 750935860
Phone: (972) 596-0006
Fax: (972) 596-0904
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 75093)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1275719122 is assigned to Unknown Individual under the national enumeration system.

Should I trust care from Unknown Individual if status is inactive?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.

What location shows for Unknown Individual?

We surface Plano, Texas for Unknown Individual based on available NPPES addresses.

How can I contact Unknown Individual?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.