Unknown Individual – Speech-Language Pathologist, NPI 1679989628

Unknown Individual is a healthcare provider. based in Lakeway, Texas. specializing in Speech-Language Pathologist. They hold a License No. 102520 (TX). The NPI Number for Unknown Individual is 1679989628

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679989628
Phone
(512) 565-3317
Address
102 RARE EAGLE CT
Deactivation Date
13 December 2021
Data current as of
20 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

  • 102 RARE EAGLE CT

    LAKEWAY, TX 787344665

    Phone: (512) 565-3317

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78734)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1679989628 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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Lakeway, Texas as the headline location for Unknown Individual here.
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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