NPI age
17 years
Enumerated 2008-06-05
● Active
Type 1 · Individual
DR. Jacques Mamigonian, M.D.
Mamigonian is 1 of 76 family medicine providers in College Station and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
TX, OK
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
17 years
≈ at median (17 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
15195 Fm 2154 Rd
College Station, TX 778456808
Mailing address
Po Box 844658
Dallas, TX 752848446
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
4421 Highway 6 S
College Station, TX 778456171
Location 3
2612 W Villa Maria Rd
Bryan, TX 778074881
Specialties
-
Family Medicine PrimaryFamily 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...
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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