Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1730113069

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 228621 (TX). The NPI Number for Unknown Individual is 1730113069

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730113069
Phone
(817) 529-1147
Address
4916 OVERTON PLZ
Deactivation Date
25 December 2025
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

  • 4916, Overton Plaza, Fort Worth, Tarrant County, Texas, 76109, United States

    FORT WORTH, TX 761094415

    Phone: (817) 529-1147

    Fax: (817) 334-0235

    Type: Mailing

  • 925, Santa Fe Drive, Weatherford, Parker County, Texas, 76086, United States

    SUITE 111

    WEATHERFORD, TX 760865866

    Phone: (817) 599-4901

    Fax: (817) 599-4902

    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.

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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 76109)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1730113069 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Fort Worth, Texas for Unknown Individual; expand the address list for detail.
What if Fort Worth, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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