Unknown Individual – Physician Assistant, NPI 1518061753

Unknown Individual is a healthcare provider. based in Henrietta, Texas. specializing in Physician Assistant. They hold a License No. 005173-1 (NY). The NPI Number for Unknown Individual is 1518061753

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1518061753
Phone
Not provided
Address
PO BOX 301
Deactivation Date
12 June 2025
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

Provider Addresses for Unknown Individual

  • PO BOX 301

    HENRIETTA, TX 763650301

    Phone:

    Type: Mailing

  • 4301 MOW-WAY ROADRACH

    RACH (ATTN: MCUA-QC MS. PRESCOTT)

    FORT SILL, OK 735036300

    Phone: (580) 458-2134

    Fax: (580) 458-2314

    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 76365)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1518061753 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Henrietta, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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