Unknown Individual – Internal Medicine Physician, NPI 1508815879

Unknown Individual is a healthcare provider. based in Killeen, Texas. specializing in Internal Medicine Physician. They hold a License No. G1945 (TX). The NPI Number for Unknown Individual is 1508815879

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508815879
Phone
(254) 526-0404
Address
2301 S CLEAR CREEK RD
Deactivation Date
16 October 2024
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

  • South Clear Creek Road, Killeen, Bell County, Texas, 76549, United States

    SUITE 202

    KILLEEN, TX 765494119

    Phone: (254) 526-0404

    Fax: (254) 526-9673

    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 76549)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1508815879; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Killeen, Texas on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1508815879. Always confirm identity and privileges with the practice and licensing boards.

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