Unknown Individual – Family Medicine Physician, NPI 1639267628

Unknown Individual is a healthcare provider. based in Winnsboro, Texas. specializing in Family Medicine Physician. They hold a License No. C8009 (TX). The NPI Number for Unknown Individual is 1639267628

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639267628
Phone
(903) 342-5253
Address
600 E COKE RD
Deactivation Date
6 March 2024
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

  • 600, East Coke Road, Winnsboro, Wood County, Texas, 75494, United States

    WINNSBORO, TX 754943418

    Phone: (903) 342-5253

    Fax: (903) 342-5041

    Type: Location

  • 804, Circle Drive, Winnsboro, Wood County, Texas, 75494, United States

    P.O. BOX 146

    WINNSBORO, TX 754943806

    Phone: (903) 342-6717

    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.

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 75494)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1639267628 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Winnsboro, Texas because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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