Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1417950114

Unknown Individual is a healthcare provider. based in El paso, Texas. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. D5061 (TX). The NPI Number for Unknown Individual is 1417950114

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417950114
Phone
(915) 587-8488
Address
5449 CACTUS HILL DR
Deactivation Date
11 September 2024
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

  • Cactus Hill Drive, El Paso, El Paso County, Texas, 79912, United States

    EL PASO, TX 799126307

    Phone: (915) 587-8488

    Type: Mailing

  • Drive, Faubourg de Cambrai, Valenciennes, Nord, Hauts-de-France, Metropolitan France, 59300, France

    STE 212

    EL PASO, TX 799025008

    Phone: (915) 532-3977

    Fax: (915) 532-5866

    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.

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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 79912)

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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 1417950114.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights El Paso, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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