Unknown Individual – Emergency Medicine Physician, NPI 1629036041

Unknown Individual is a healthcare provider. based in Fredericksburg, Texas. specializing in Emergency Medicine Physician. They hold a License No. E0927 (TX). The NPI Number for Unknown Individual is 1629036041

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629036041
Phone
(801) 256-3256
Address
1020 HWY 16 S
Deactivation Date
20 February 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

  • 1020 HWY 16 S

    FREDERICKSBURG, TX 786244471

    Phone: (801) 256-3256

    Type: Location

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    SUITE 201

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    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.

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 78624)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1629036041 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Fredericksburg, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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