Unknown Individual – Pediatrics Physician, NPI 1992802854

Unknown Individual is a healthcare provider. based in Eagle pass, Texas. specializing in Pediatrics Physician. They hold a License No. E3787 (TX). The NPI Number for Unknown Individual is 1992802854

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992802854
Phone
(956) 206-9689
Address
2139 RICKS DR
Deactivation Date
4 December 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

  • 2139, Ricks Drive, Eagle Pass, Maverick County, Texas, 78852, United States

    EAGLE PASS, TX 788523338

    Phone: (956) 206-9689

    Fax: (830) 773-6432

    Type: Mailing

  • Veterans Boulevard, Eagle Pass, Maverick County, Texas, 78852, United States

    2525 LOOP 431

    EAGLE PASS, TX 788523302

    Phone: (830) 773-5358

    Fax: (830) 773-6432

    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

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.

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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 78852)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1992802854 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Pediatrics Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Eagle Pass, Texas; more addresses can appear in NPPES.
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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