Unknown Individual – Surgery Physician, NPI 1629078449

Unknown Individual is a healthcare provider. based in Fulton, Texas. specializing in Surgery Physician. They hold a License No. F-3547 (TX). The NPI Number for Unknown Individual is 1629078449

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629078449
Phone
(361) 729-4050
Address
PO BOX 669
Deactivation Date
15 January 2026
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

  • 669, County Route 35, Vermilion, Fulton, Oswego County, New York, 13069, United States

    FULTON, TX 78358

    Phone: (361) 729-4050

    Fax: (361) 729-2282

    Type: Mailing

  • 2851 HWY 35 N

    ROCKPORT, TX 78382

    Phone: (361) 729-4050

    Fax: (361) 729-2282

    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 78358)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1629078449 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Fulton, Texas as the reference point for Unknown Individual, then confirm.
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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