Unknown Individual – Physician Assistant, NPI 1558301424

Unknown Individual is a healthcare provider. based in Fort hood, Texas. specializing in Physician Assistant. The NPI Number for Unknown Individual is 1558301424

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558301424
Phone
(254) 285-6239
Address
58TH ST & 761ST TANK BATTALION AVE
Deactivation Date
27 December 2023
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

Provider Addresses for Unknown Individual

  • 58TH ST & 761ST TANK BATTALION AVE

    BLDG 2245

    FORT HOOD, TX 765444752

    Phone: (254) 285-6239

    Fax: (254) 285-6193

    Type: Location

  • Fort Hood Orthopedic Brace Clinic, Darnall Loop, Bell County, Texas, 76544, United States

    CARL R DARNALL ARMY MEDICAL CENTER

    FORT HOOD, TX 76544

    Phone:

    Type: Mailing

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.

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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 76544)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1558301424 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Physician Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Fort Hood, Texas for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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