Unknown Individual – Specialist, NPI 1407858780

Unknown Individual is a healthcare provider. based in Conroe, Texas. specializing in Specialist. They hold a License No. D0222 (TX). The NPI Number for Unknown Individual is 1407858780

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407858780
Phone
(936) 321-7733
Address
100 MEDICAL CENTER BLVD.
Deactivation Date
24 April 2025
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

  • Medical Center Boulevard, Conroe, Montgomery County, Texas, 77301, United States

    SUITE 100

    CONROE, TX 773042821

    Phone: (936) 321-7733

    Fax: (936) 273-7722

    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 77304)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYTX81002Urinalysis, manual test4531

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1407858780 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 Other Service Providers. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Conroe, Texas for Unknown Individual; download NPPES for the complete set.
What if Conroe, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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