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

P.j. Tisch Jr.

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962230433

P.j. Tisch Jr. is a Student in an Organized Health Care Education/Training Program in College Station, Texas. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

2929 Research Pkwy
College Station, TX 77843-4243
Phone: (979) 845-3109
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962230433
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing address4603 Pro Ct, College Station, TX 77845-4419

Other providers in College Station