NPI age
19 years
Enumerated 2006-10-27
● Active Type 2 · Organization
Cleveland Medical Clinic Family
Cleveland Medical Clinic Family is 1 of 11022 physician assistant organizations in Texas.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wisiackas
Physician
Last NPPES update
2010-02-02
Source: monthly bulk 2026-05
How this organization compares
Across 11022 active physician assistant providers in Texas.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
208 N Bonham Ave
Cleveland, TX 773274023
Mailing address
208 N Bonham Ave
Cleveland, TX 773274023
Authorized official
Philip R Wisiackas, MD
Physician
📞 2815923600
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 126965602 |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 11022 Physician Assistant providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →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.