Unknown Individual – Urology Physician, NPI 1639267867

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Urology Physician. They hold a License No. E2166 (TX). The NPI Number for Unknown Individual is 1639267867

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639267867
Phone
(210) 614-4544
Address
7909 FREDERICKSBURG RD
Deactivation Date
27 October 2022
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

  • 7909, Fredericksburg Road, San Antonio, Bexar County, Texas, 78229, United States

    #110

    SAN ANTONIO, TX 782293425

    Phone: (210) 614-4544

    Fax: (210) 582-5522

    Type: Mailing

  • 12709, Toepperwein Road, Live Oak, Bexar County, Texas, 78233, United States

    #206

    LIVE OAK, TX 782333258

    Phone: (210) 564-8000

    Fax: (210) 590-7945

    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.

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 78229)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1639267867 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Urology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is San Antonio, Texas in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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