Unknown Individual – Obstetrics & Gynecology Physician, NPI 1669464194

Unknown Individual is a healthcare provider. based in Grapevine, Texas. specializing in Obstetrics & Gynecology Physician. They hold a License No. J1603 (TX). The NPI Number for Unknown Individual is 1669464194

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669464194
Phone
(972) 406-3000
Address
1600 LANCASTER DR
Deactivation Date
23 April 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

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Provider Addresses for Unknown Individual

  • 1600, Lancaster Drive, Grapevine, Tarrant County, Texas, 76051, United States

    SUITE 101

    GRAPEVINE, TX 760513579

    Phone: (972) 406-3000

    Fax: (972) 406-3005

    Mailing address matches the actual address.

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 76051)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1669464194 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Grapevine, Texas for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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