Unknown Individual – Specialist, NPI 1558442558

Unknown Individual is a healthcare provider. based in Eagle pass, Texas. specializing in Specialist. They hold a License No. D4009 (TX). The NPI Number for Unknown Individual is 1558442558

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558442558
Phone
(830) 773-8474
Address
1515 SUNSET RD
Deactivation Date
2 October 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

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Provider Addresses for Unknown Individual

  • 1515 SUNSET RD

    EAGLE PASS, TX 788525291

    Phone: (830) 773-8474

    Fax: (830) 773-5683

    Type: Mailing

  • 137, Zamora Medical Circle, Morales Circle Colonia, Eagle Pass, Maverick County, Texas, 78852, United States

    EAGLE PASS, TX 78852

    Phone: (830) 773-8474

    Fax: (830) 773-5683

    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.

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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 78852)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1558442558 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Other Service Providers. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Eagle Pass?
Public fields place Unknown Individual around Eagle Pass, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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