PHILIP WISIACKAS, MD

Family Medicine

Active Individual
NPI: 1568454304

Practice Address

110 HILL AVE
Coldspring, TX 77331

Phone: (936) 653-4223

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes F4703 (TX)

Frequently Asked Questions

NPI 1568454304 is the National Provider Identifier for PHILIP WISIACKAS, MD, a Family Medicine provider located in Coldspring, TX. This NPI was enumerated on August 18, 2005.
PHILIP WISIACKAS, MD practices at 110 HILL AVE, Coldspring, TX 77331.

Quick Facts

NPI
1568454304
Type
Individual
Enumerated
Aug 18, 2005
Last Updated
Jun 11, 2012

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