Unknown Individual – Orthopaedic Surgery Physician, NPI 1336124551

Unknown Individual is a healthcare provider. based in San angelo, Texas. specializing in Orthopaedic Surgery Physician. They hold a License No. G4359 (TX). The NPI Number for Unknown Individual is 1336124551

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336124551
Phone
(325) 658-1511
Address
4450 SUNSET DRIVE
Deactivation Date
11 June 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

  • 4450, Sunset Drive, Sunset, San Angelo, Tom Green County, Texas, 76901, United States

    SAN ANGELO, TX 76904

    Phone: (325) 658-1511

    Type: Location

  • San Angelo, Villa Residencial Santa Fe 3ra Sección, Pórticos de San Antonio, Municipio de Tijuana, Baja California, 22664, Mexico

    SAN ANGELO, TX 769027200

    Phone: (325) 658-1511

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 76904)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1336124551.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near San Angelo, Texas may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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