Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1396743654

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. G9399 (TX). The NPI Number for Unknown Individual is 1396743654

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396743654
Phone
(806) 789-1842
Address
3319 20TH ST
Deactivation Date
31 January 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

  • 3319, 20th Street, Tech Terrace U.N.I.T., Lubbock, Texas, 79410, United States

    LUBBOCK, TX 794101411

    Phone: (806) 789-1842

    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.

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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 79410)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1396743654 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Lubbock, Texas because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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