Unknown Individual – Dermatology Physician, NPI 1912962390

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Dermatology Physician. They hold a License No. D-5828 (TX). The NPI Number for Unknown Individual is 1912962390

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912962390
Phone
(281) 484-7546
Address
11914 ASTORIA BLVD.
Deactivation Date
13 January 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 11914, Astoria Boulevard, Houston, Harris County, Texas, 77089, United States

    SUITE 340

    HOUSTON, TX 770896048

    Phone: (281) 484-7546

    Fax: (281) 484-2202

    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 77089)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1912962390.
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 type of care does Unknown Individual provide?
Unknown Individual's profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Houston, Texas?
For routing, start with Houston, 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.