1. Home
  2. Directory
  3. Texas
  4. Coldspring
  5. Family Medicine
  6. NPI Profile

PHILIP R. WISIACKAS, M.D., P.A.
NPI 1174838411
Family Medicine in Coldspring, TX

Active since August 11, 2010
110 HILL AVE, COLDSPRING, TX 77331(936) 653-4223(936) 653-5042 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Philip R. Wisiackas, M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP R. WISIACKAS, M.D., P.A. (NPI 1174838411) is a healthcare organization registered as a family medicine in Coldspring, Texas and active in the NPI registry since August 2010. The organization lists Philip Robert Wisiackas, Physician, as its authorized official.

NPPES Registry Identity

NPI1174838411
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHILIP R. WISIACKAS, M.D., P.A.
Location Address110 HILL AVEColdspring, TX 77331-5406
Mailing Address110 Hill AveColdspring, TX 77331-5406 · (936) 653-4223 · Fax (936) 653-5042
Phone(936) 653-4223
Fax(936) 653-5042
Organization SubpartNo
Authorized OfficialPhilip Robert WisiackasPhysician · (936) 653-4223
Enumeration DateAugust 11, 2010
Last NPPES UpdateApril 7, 2011
✔ NPI 1174838411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F4703
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

110 HILL AVE, Coldspring, TX 77331
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE28279TX
Other00FS32TX · Blue Cross/blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHILIP ROBERT WISIACKAS MD
Family Medicine
110 HILL AVE
COLDSPRING, TX 77331
San Jacinto County (936) 653-4223
WALKER COUNTY HOSPITAL CORPORATION
Clinic/Center (Rural Health)
110 HILL AVE
COLDSPRING, TX 77331
San Jacinto County (936) 439-1450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip R. Wisiackas, M.D., P.A.'s NPI number?

The NPI number for Philip R. Wisiackas, M.D., P.A. is 1174838411. It was assigned to this organization in the NPPES registry on August 11, 2010.

Where is Philip R. Wisiackas, M.D., P.A. located?

Philip R. Wisiackas, M.D., P.A. is located at 110 Hill Ave, Coldspring, TX 77331. The listed phone number is (936) 653-4223.

What is Philip R. Wisiackas, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Philip R. Wisiackas, M.D., P.A. was last updated on April 7, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.