Unknown Individual – Physician Assistant, NPI 1669681300

Unknown Individual is a healthcare provider. based in Orange grove, Texas. specializing in Physician Assistant. They hold a License No. PA01158 (TX). The NPI Number for Unknown Individual is 1669681300

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669681300
Phone
(830) 879-2279
Address
PO BOX 2070
Deactivation Date
28 December 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

  • Orange Grove, Frenchs Forest, Sydney, Northern Beaches Council, Northern Beaches, New South Wales, 2086, Australia

    ORANGE GROVE, TX 783722070

    Phone: (830) 879-2279

    Fax: (830) 879-2235

    Type: Mailing

  • 408, North Giraud Street, Cotulla, La Salle County, Texas, 78014, United States

    COTULLA, TX 780143113

    Phone: (830) 879-2279

    Fax: (830) 879-2235

    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 78372)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1669681300 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Orange Grove?
Public fields place Unknown Individual around Orange Grove, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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