Unknown Individual – Medical Physician Assistant, NPI 1992725204

Unknown Individual is a healthcare provider. based in Frisco, Texas. specializing in Medical Physician Assistant. They hold a License No. PA02037 (TX). The NPI Number for Unknown Individual is 1992725204

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992725204
Phone
(972) 963-3039
Address
12505 LEBANON RD
Deactivation Date
14 August 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

  • Baylor Scott & White Medical Center – Centennial, 12505, Lebanon Road, Frisco, Collin County, Texas, 75035, United States

    FRISCO, TX 750358298

    Phone: (972) 963-3039

    Type: Location

  • 8721, Winter Wood Court, Plano, Collin County, Texas, 75024, United States

    PLANO, TX 750247374

    Phone: (469) 371-0379

    Type: Mailing

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 75035)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1992725204 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Frisco, Texas as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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