Provider Demographics
NPI:1649716622
Name:PILISZEK, ANDRE (DC, FNP-C)
Entity type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:
Last Name:PILISZEK
Suffix:
Gender:M
Credentials:DC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13661 VERAMARION ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3803
Mailing Address - Country:US
Mailing Address - Phone:281-469-4156
Mailing Address - Fax:281-469-7315
Practice Address - Street 1:13661 VERAMARION ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3803
Practice Address - Country:US
Practice Address - Phone:281-469-4156
Practice Address - Fax:281-469-7315
Is Sole Proprietor?:No
Enumeration Date:2017-01-13
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10803111N00000X
TX897673163W00000X
TX1027316363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No163W00000XNursing Service ProvidersRegistered Nurse