Unknown Individual – Emergency Medicine Physician, NPI 1487660502

Unknown Individual is a healthcare provider. based in Aubrey, Texas. specializing in Emergency Medicine Physician. They hold a License No. G3855 (TX). The NPI Number for Unknown Individual is 1487660502

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487660502
Phone
(940) 566-1524
Address
6005 MOSS ROSE LN
Deactivation Date
11 May 2021
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

  • 6005 MOSS ROSE LN

    AUBREY, TX 762274096

    Phone: (940) 566-1524

    Fax: (940) 380-4061

    Type: Mailing

  • New Trails Drive, Research Forest, The Woodlands, Montgomery County, Texas, 77381, United States

    STE 100

    THE WOODLANDS, TX 773811176

    Phone: (940) 566-1524

    Fax: (940) 380-4061

    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.

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 76227)

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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 1487660502.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Aubrey, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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