Unknown Individual – Emergency Medicine Physician, NPI 1801867205

Unknown Individual is a healthcare provider. based in Mount vernon, Texas. specializing in Emergency Medicine Physician. They hold a License No. C7159 (TX). The NPI Number for Unknown Individual is 1801867205

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801867205
Phone
(903) 537-3206
Address
416 KAUFMAN ST N
Deactivation Date
3 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • South Kaufman Street, Mount Vernon Housing Authority, Mount Vernon, Franklin County, Texas, 75457, United States

    MOUNT VERNON, TX 754572116

    Phone: (903) 537-3206

    Fax: (903) 537-2780

    Mailing address matches the actual address.

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.

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 75457)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1801867205 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Mount Vernon?
Unknown Individual currently maps to Mount Vernon, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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