Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP ROBERT WISIACKAS, MD
Active Sole ProprietorPHILIP ROBERT WISIACKAS, MD is a Family Medicine healthcare provider located in COLDSPRING, Texas. NPI 1568454304 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · COLDSPRING, TX
Registration Details
- NPI Number
- 1568454304
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2005 (20.963402654557 yrs)
- Last Updated
- Jun 11, 2012
- License
-
F4703 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 HILL AVECOLDSPRING, TX, 773315406Browse TX providers · Browse ZIP 77331
- Phone
- 9366534223
- Fax
- 9366535042
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in COLDSPRING, TX
| Name | Credential | NPI |
|---|---|---|
| DR. TRI MINH LE | MD | 1205848033 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.