Unknown Individual – Obstetrics & Gynecology Physician, NPI 1295739183

Unknown Individual is a healthcare provider. based in Montgomery, Texas. specializing in Obstetrics & Gynecology Physician. They hold a License No. E2936 (TX). The NPI Number for Unknown Individual is 1295739183

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295739183
Phone
(936) 520-6400
Address
PO BOX 448
Deactivation Date
18 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 448

    MONTGOMERY, TX 773560448

    Phone: (936) 520-6400

    Type: Mailing

  • Medical City Dallas, 7777, Forest Lane, Dallas, Dallas County, Texas, 75230, United States

    SUITE C-336

    DALLAS, TX 752302505

    Phone: (972) 566-8585

    Fax: (972) 566-8576

    Type: Mailing

  • PO Box 448

    Montgomery, TX 773560448

    Phone: (936) 520-6400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2023-08-07 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

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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 77356)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1295739183?
NPI 1295739183 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Montgomery, Texas as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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