Unknown Individual – General Practice Physician, NPI 1790832129

Unknown Individual is a healthcare provider. based in Del rio, Texas. specializing in General Practice Physician. They hold a License No. E7401 (TX). The NPI Number for Unknown Individual is 1790832129

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790832129
Phone
(830) 768-4800
Address
1117 W DE LA ROSA ST
Deactivation Date
6 November 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

  • 1117, West de la Rosa Street, Del Rio, Val Verde County, Texas, 78840, United States

    DEL RIO, TX 788406224

    Phone: (830) 768-4800

    Fax: (830) 768-4844

    Type: Location

  • 330, Inspiration Way, Del Rio, Val Verde County, Texas, 78840, United States

    DEL RIO, TX 788402519

    Phone: (830) 775-2049

    Fax: (830) 775-7325

    Type: Mailing

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 78840)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1790832129?
NPI 1790832129 belongs to Unknown Individual; compare other details if you need extra assurance.
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 General Practice Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Del Rio, Texas.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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