Unknown Individual – Pediatrics Physician, NPI 1336143692

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Pediatrics Physician. They hold a License No. G1436 (TX). The NPI Number for Unknown Individual is 1336143692

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336143692
Phone
(210) 561-3100
Address
13750 SAN PEDRO AVE
Deactivation Date
1 July 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

Provider Addresses for Unknown Individual

  • 13750 SAN PEDRO AVE

    STE 560

    SAN ANTONIO, TX 782324375

    Phone: (210) 561-3100

    Type: Mailing

  • 1954 E HOUSTON ST

    RM 104

    SAN ANTONIO, TX 782022952

    Phone: (210) 227-2100

    Fax: (210) 227-1915

    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.

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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 78232)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1336143692 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Pediatrics Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface San Antonio, Texas for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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