Unknown Individual – Surgical Physician Assistant, NPI 1811906795

Unknown Individual is a healthcare provider. based in Temple, Texas. specializing in Surgical Physician Assistant. They hold a License No. 1009061 (). The NPI Number for Unknown Individual is 1811906795

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811906795
Phone
(254) 743-0736
Address
1901 S 1ST ST
Deactivation Date
30 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience9
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 1901, South 1st Street, Temple, Bell County, Texas, 76504, United States

    TEMPLE, TX 765047451

    Phone: (254) 743-0736

    Fax: (254) 743-0423

    Type: Location

  • 122, Calvin Drive, Temple, Bell County, Texas, 76501, United States

    TEMPLE, TX 765011405

    Phone: (254) 773-3843

    Type: Mailing

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 76504)

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

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1811906795.
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 Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Temple, Texas on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1811906795. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

PROF. ANDREW RIVERS OBRIEN (PA-C, MPH)

Surgical Physician Assistant
601, Sabine Circle, Western Hills, Temple, Bell County, Texas, 76504, United States
NPI: 1093706772

DOUGLAS W WALKER (PA)

Surgical Physician Assistant
1201 S Miller St
NPI: 1457315582

DANA HAWTHORNE (PA-C)

Surgical Physician Assistant
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1639127426
600 Gresham Dr Ste 8600
NPI: 1902841919

MR. WILLIAM LEE CLARK (P.A.)

Surgical Physician Assistant
1901, South 1st Street, Temple, Bell County, Texas, 76504, United States
NPI: 1912917220

MOLLY M PEARCE (PA-C)

Surgical Physician Assistant
1901, South 1st Street, Temple, Bell County, Texas, 76504, United States
NPI: 1487665345

STACI REESE (PA-C)

Physician Assistant
Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States
NPI: 1447262688

ERIC SWEE QUEK (PAC)

Surgical Physician Assistant
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1104929892

CASSIE LYNN CONNERTY (PA-C)

Surgical Physician Assistant
1105 BARCLAY DR
NPI: 1790820397