Unknown Individual – Vascular & Interventional Radiology Physician, NPI 1902830847

Unknown Individual is a healthcare provider. based in Galveston, Texas. specializing in Vascular & Interventional Radiology Physician. They hold a License No. D4403 (TX). The NPI Number for Unknown Individual is 1902830847

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902830847
Phone
(409) 908-9997
Address
PO BOX 16988
Deactivation Date
5 June 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

  • PO BOX 16988

    GALVESTON, TX 775526988

    Phone: (409) 908-9997

    Fax: (409) 908-0240

    Type: Mailing

  • 303, Isles End Road, Tiki Island, Galveston County, Texas, 77554, United States

    TIKI ISLAND, TX 775546147

    Phone: (409) 908-9997

    Fax: (409) 908-0240

    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

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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 77552)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1902830847 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Galveston, Texas in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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