Unknown Individual – Surgical Physician Assistant, NPI 1790872141

Unknown Individual is a healthcare provider. based in Tomball, Texas. specializing in Surgical Physician Assistant. They hold a License No. SA00080 (TX). The NPI Number for Unknown Individual is 1790872141

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790872141
Phone
(832) 717-0039
Address
15971 COTTAGE IVY CIRCLE
Deactivation Date
18 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

Provider Addresses for Unknown Individual

  • 15971 COTTAGE IVY CIRCLE

    TOMBALL, TX 77377

    Phone: (832) 717-0039

    Fax: (832) 717-0039

    Type: Mailing

  • 15971 COTTAGE IVY CIR

    TOMBALL, TX 773772542

    Phone: (832) 717-0039

    Fax: (832) 717-0039

    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 77377)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1790872141.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Tomball, Texas?
For routing, start with Tomball, Texas for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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