Unknown Individual – Audiologist, NPI 1477756104

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Audiologist. The NPI Number for Unknown Individual is 1477756104

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477756104
Phone
(817) 348-8563
Address
400 S HENDERSON ST
Deactivation Date
12 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 400, South Henderson Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761041017

    Phone: (817) 348-8563

    Fax: (817) 335-2583

    Type: Mailing

  • 211, North Anglin Street, Cleburne, Johnson County, Texas, 76031, United States

    CLEBURNE, TX 760314134

    Phone: (817) 348-8563

    Fax: (817) 335-2583

    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.

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 76104)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1477756104.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Audiologist. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Fort Worth, Texas. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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