Unknown Individual – Otolaryngology Physician, NPI 1578836532

Unknown Individual is a healthcare provider. based in Fredericksburg, Texas. specializing in Otolaryngology Physician. They hold a License No. 01444 (TX). The NPI Number for Unknown Individual is 1578836532

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578836532
Phone
(830) 997-8904
Address
P.O. BOX 856
Deactivation Date
29 August 2022
Data current as of
20 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

  • P.O. BOX 856

    FREDERICKSBURG, TX 78624

    Phone: (830) 997-8904

    Fax: (830) 997-8904

    Type: Mailing

  • 644 RED OAK LANE

    FREDERICKSBURG, TX 78624

    Phone: (830) 997-8904

    Fax: (830) 997-8904

    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.

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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 78624)

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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 1578836532 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Fredericksburg, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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