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

Dr. Jacques Mamigonian, MD

Individual provider Family Medicine Physician · NPI 1477712321

Dr. Jacques Mamigonian, MD is a Family Practice in College Station, Texas. Qualified in 2002, 24 years ago. Practices with Scott and White Clinic, a 2,429-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma and Texas.

Years since qualifying
24
Licensed in
OK, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15195 Fm 2154 Rd
College Station, TX 77845-6808
Phone: (979) 207-6700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2612 W Villa Maria Rd, Bryan, TX 77807-4881 — (979) 207-3636
  • 4421 Highway 6 S, College Station, TX 77845-6171 — (979) 690-4260

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N0943 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence 26421 (OK)

Record details

NPI number1477712321
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2008
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing addressPo Box 844658, Dallas, TX 75284-8446

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

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