Unknown Individual – Family Medicine Physician, NPI 1356430649

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Family Medicine Physician. They hold a License No. E6668 (TX). The NPI Number for Unknown Individual is 1356430649

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356430649
Phone
(806) 355-6593
Address
PO BOX 8337
Deactivation Date
27 January 2021
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

  • Flor Amarillo, Parroquia Capital Guanarito, Municipio Guanarito, Portuguesa State, Venezuela

    AMARILLO, TX 791148337

    Phone: (806) 355-6593

    Fax: (806) 352-8774

    Type: Mailing

  • Shamrock General Hospital, 1000, South Main Street, Shamrock, Wheeler County, Texas, 79079, United States

    SHAMROCK, TX 790792820

    Phone: (806) 256-2114

    Fax: (806) 256-5380

    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 79114)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1356430649.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Amarillo, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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