Unknown Individual – Audiologist, NPI 1477756120

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Audiologist. The NPI Number for Unknown Individual is 1477756120

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477756120
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) 335-2597

    Type: Mailing

  • 509, West Pearl Street, Granbury, Hood County, Texas, 76048, United States

    GRANBURY, TX 760482043

    Phone: (817) 279-8866

    Fax: (817) 573-6301

    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

Can I cross-check Unknown Individual using NPI 1477756120?
NPI 1477756120 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Audiologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Fort Worth?
Public fields place Unknown Individual around Fort Worth, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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