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 is a Family Medicine Physician 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
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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