Unknown Individual – Internal Medicine Physician, NPI 1508879552

Unknown Individual is a healthcare provider. based in Paris, Texas. specializing in Internal Medicine Physician. They hold a License No. F6867 (TX). The NPI Number for Unknown Individual is 1508879552

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508879552
Phone
(903) 782-9206
Address
3150 CLARKSVILLE ST
Deactivation Date
23 June 2022
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

  • 3150, Clarksville Street, Paris, Lamar County, Texas, 75460, United States

    SUITE 100

    PARIS, TX 754608076

    Phone: (903) 782-9206

    Fax: (903) 783-7367

    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 75460)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1508879552 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Paris, Texas?
If you are local to Paris, Texas, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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