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NPI 1174838411
● Active Type 2 · Organization
Philip R. Wisiackas, M.d., P.A.
Family Medicine · Coldspring, TX · NPI 1174838411
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Enumerated 2010 · 15 years on NPI
Philip R. Wisiackas, M.d., P.A. is 1 of 15966 family medicine organizations in Texas.
NPI age
15 years
Enumerated 2010-08-11
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wisiackas
Physician
Last NPPES update
2011-04-07
Source: monthly bulk 2026-05
How this organization compares
Across 15966 active family medicine providers in Texas.
NPI age
15 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2010 → 2026
2010-08 Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
110 Hill Ave
Coldspring, TX 773315406
📞 9366534223 fax 9366535042
Mailing address
110 Hill Ave
Coldspring, TX 773315406
📞 9366534223 fax 9366535042
Authorized official
Philip Robert Wisiackas, MD
Physician
📞 9366534223
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Family Medicine
Primary
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
TX license #F4703 taxonomy 207Q00000X
Identifiers
Type Value Notes
01 (TX)
00FS32
BLUE CROSS/BLUE SHIELD
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.