Unknown Individual – Pediatrics Physician, NPI 1558369090

Unknown Individual is a healthcare provider. based in Fabens, Texas. specializing in Pediatrics Physician. They hold a License No. H9535 (TX). The NPI Number for Unknown Individual is 1558369090

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558369090
Phone
(915) 764-5000
Address
101 POTASIO DR
Deactivation Date
13 March 2025
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

  • 101, Potasio, Sanchez Colonia, Fabens, El Paso County, Texas, 79927, United States

    FABENS, TX 79838

    Phone: (915) 764-5000

    Fax: (915) 764-5050

    Type: Location

  • University Medical Center, 4815, Alameda Avenue, El Paso, El Paso County, Texas, 79905, United States

    EL PASO, TX 799052705

    Phone: (915) 544-1200

    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.

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 79838)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1558369090.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Fabens, Texas in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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