Unknown Individual – Internal Medicine Physician, NPI 1386642882

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Katy, Texas. specializing in Internal Medicine Physician. They hold a License No. F7346 (TX). The NPI Number for Unknown Individual is 1386642882

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1386642882

Phone

(281) 398-7954

Address

21700 KINGSLAND BLVD

Deactivation Date

16 April 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

Kingsland Boulevard, Willow Creek Farms - South, Katy, Waller County, Texas, United States
SUITE 201
KATY, TX 774502513
Phone: (281) 398-7954
Fax: (281) 578-7425
Mailing address matches the actual address.

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.

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 77450)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1386642882 for Unknown Individual, then check state licensing separately.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Does Unknown Individual list a practice location?

Patients near Katy, Texas may find Unknown Individual in results; validate coverage separately.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."