Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Philip R. Wisiackas, MD, PA

Organization Family Medicine Physician · NPI 1174838411

Philip R. Wisiackas, MD, PA provides Family Medicine Physician services in Coldspring, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

110 Hill Ave
Coldspring, TX 77331-5406 Not confirmed with CMS for 15 years — call before visiting
Phone: (936) 653-4223
Fax: (936) 653-5042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence F4703 (TX)

Record details

NPI number1174838411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Wisiackas — Physician · (936) 653-4223
NPI enumeratedAugust 11, 2010
Last updated in NPPESApril 7, 2011
Mailing address110 Hill Ave, Coldspring, TX 77331-5406

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