Unknown Individual – Psychiatry Physician, NPI 1376524348

Unknown Individual is a healthcare provider. based in Midland, Texas. specializing in Psychiatry Physician. They hold a License No. E0954 (TX). The NPI Number for Unknown Individual is 1376524348

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376524348
Phone
(432) 620-8500
Address
10 DESTA DR
Deactivation Date
15 November 2024
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

  • 10, Desta Drive, Claydesta Plaza, Midland, Midland County, Texas, 79705, United States

    STE 220 W.

    MIDLAND, TX 797054515

    Phone: (432) 620-8500

    Fax: (432) 620-8501

    Type: Location

  • Midland Post Office, 831, Midland Avenue, Midland, Beaver County, Pennsylvania, 15059, United States

    MIDLAND, TX 797087039

    Phone: (432) 620-8500

    Fax: (432) 620-8501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Corium, LLC ($32).

Total Amount

$32

General + Research + Ownership

Payments

3

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corium, LLC$32
View all Open Payments →|Open Payments Risk Radar →

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 79705)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1376524348 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
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 Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Midland?
Unknown Individual currently maps to Midland, Texas in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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