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Philip Robert Wisiackas, MD
Family Medicine Physician in Coldspring, Texas
NPI 1568454304

Philip Robert Wisiackas is a Family Medicine Physician based in Coldspring, TX. Philip Robert Wisiackas practices in Coldspring, TX and has the professional credentials of MD. The NPI Number for Philip Robert Wisiackas is 1568454304 and holds a License No. F4703 (Texas).

The current practice location address for Philip Robert Wisiackas is 110 Hill Ave, Coldspring, TX and can be reached out via phone at 936-653-4223 and via fax at 936-653-5042.

Location: 110 Hill Ave, Coldspring, TX, 77331-5406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568454304
Provider Name
Philip Robert Wisiackas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
110 Hill Ave, Coldspring, TX, 77331-5406
Phone Number
936-653-4223
Fax Number
936-653-5042
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00FS32 01 TX BLUE CROSS BLUE SHIELD
133086201 05 TX
institution
Provider Business Practice Location Address Details
Address
110 Hill Ave
City
Coldspring
State
Texas
Zip
77331-5406
Phone Number
936-653-4223
Fax Number
936-653-5042
person
Provider Business Mailing Address Details
Address
110 Hill Ave
City
Coldspring
State
Texas
Zip
77331-5406
Phone Number
936-653-4223
Fax Number
936-653-5042
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
F4703 (Texas)
Definition
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 family medicine is not limited by age, sex, organ system, or disease entity.
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