Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1285630012

Unknown Individual is a healthcare provider. based in Nacogdoches, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. D8262 (TX). The NPI Number for Unknown Individual is 1285630012

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285630012
Phone
(936) 568-3117
Address
2715 GLEN HOLLOW DR
Deactivation Date
8 March 2023
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

  • 2715, Glen Hollow Drive, Nacogdoches, Nacogdoches County, Texas, 75965, United States

    NACOGDOCHES, TX 759653735

    Phone: (936) 568-3117

    Fax: (936) 568-3180

    Type: Mailing

  • Nacogdoches Medical Center, 4920, Northeast Stallings Drive, Nacogdoches, Nacogdoches County, Texas, 75965, United States

    NACOGDOCHES, TX 759651254

    Phone: (936) 568-3117

    Fax: (936) 568-3180

    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 75965)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1285630012 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Nacogdoches, Texas for Unknown Individual based on available NPPES addresses.
What if Nacogdoches, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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