Unknown Individual – Psychiatry Physician, NPI 1730113390

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Psychiatry Physician. They hold a License No. MD009730E (PA). The NPI Number for Unknown Individual is 1730113390

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730113390
Phone
(210) 494-1664
Address
15910 WOLF CREEK ST
Deactivation Date
27 February 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

Provider Addresses for Unknown Individual

  • 15910 WOLF CREEK ST

    SAN ANTONIO, TX 782322747

    Phone: (210) 494-1664

    Type: Mailing

  • 2200 BERGQUIST DR STE 1

    ATTN: CREDENTIALS (CMC)

    LACKLAND A F B, TX 782369908

    Phone: (210) 292-6707

    Fax: (210) 292-7964

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 78232)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1730113390.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on San Antonio, Texas.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

DR. JOYCE J GELFOND (MD)

Psychiatry Physician
700 SKYFOREST DR
NPI: 1710981758
3030 NACOGDOCHES RD
NPI: 1417954728

DR. HECTOR XAVIER JR. SAMANIEGO (M.D.)

Child & Adolescent Psychiatry Physician
4257 NW LOOP 410
NPI: 1487651527

CLARK DON TERRELL (MD)

Psychiatry Physician
11124 WURZBACH RD
NPI: 1700885415

DR. EDMUND III CAVAZOS (M.D.)

Psychiatry Physician
PO BOX 897
NPI: 1568461986

THOMAS R WEISS (MD)

Psychiatry Physician
8122 DATAPOINT DR
NPI: 1063414928

Unknown Individual

Psychiatry Physician
5519 CAMDEN SPRINGS LN
NPI: 1033101142

Unknown Individual

Clinical Neuropsychologist
8245 FREDERICKSBURG RD
NPI: 1144212150