Unknown Individual – General Practice Physician, NPI 1689664567
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
South Main Street, Old Town Keller, Keller, Tarrant County, Texas, 76248, United States
KELLER, TX 762487027
Phone: (817) 857-6693
Type: Location
Las Colinas Boulevard East, Irving, Dallas County, Texas, 75039, United States
STE 130 #550
IRVING, TX 750396225
Phone: (469) 281-9115
Fax: (214) 459-3709
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2023-10-03 • Largest payer in this snapshot: Integra LifeSciences Corporation ($244).
Total Amount
$244
General + Research + Ownership
Payments
1
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $244 |
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.
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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 76248)
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Reviews
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