WHO WE SERVE · MEDICAL & PROFESSIONAL PRACTICES
Accounting and tax for Sienna medical and professional practices
Sienna medical and professional practices in Texas can bring Brent Tucker, CPA, their monthly accounting and returns by phone or video. ZIP codes 77459 and 77583 list 87 physician offices that have paid employees.
Sound familiar?
More owners, more entities, more returns.
As a practice adds partners or separate entities, the filings multiply. The practice’s returns are coordinated with each owner’s return.
You need a clearer view of how the practice is performing.
Monthly statements show what comes in, what it costs to run the practice, and what remains — explained in plain terms.
A major decision is on the horizon.
A new provider, new equipment, a second location. Talk it through with Brent before you commit, with the tax consequences in view.
Your situation isn’t on this list? Tell us about it — every engagement starts with a conversation.
How we help.
Monthly accounting
Current books and financial statements.
Business and owner returns
Prepared together.
Services and starting prices.
- 01
Accounting + Tax + Planning
From $900/moMonthly accounting and reporting, business and owner tax returns, proactive tax planning and year-round CPA access.
Founding Client Rate: $825/month for your first 12 months when you engage by March 31, 2027. Terms
- 02
Monthly Accounting
From $400/moTransaction categorization, account reconciliations, financial statements and regular accounting support.
- 03
Tax Preparation
From $300Individual returns (federal and one state) from $300; business returns from $750.
Starting prices. Your scope and price are agreed in writing before work begins.
Work directly with Brent.
Licensed CPA · 10+ years in public accounting · Member, AICPA and MICPA
Brent has served medical and professional-services clients throughout his career, at a boutique firm and at a large national accounting and advisory firm.
Brent Tucker is a CPA licensed in Michigan and serves clients in other states under applicable CPA mobility provisions.
More about BrentSienna at a glance
87
physician offices with paid employees in the ZIP codes 77459 and 77583 (Missouri City, Rosharon) that serve Sienna
Source: U.S. Census Bureau, ZIP Code Business Patterns 2023
7%
share of physician offices with 10+ employees (estimate)
Source: estimate derived by Tucker from Census ZIP Code Business Patterns 2023; not a published figure
Tax offices for Sienna medical practices
Fort Bend County Tax Assessor-Collector
County property tax collection.
1317 Eugene Heimann Circle, Richmond, Texas 77469-3623
Phone (281) 341-3710
Fort Bend Central Appraisal District
County property assessment.
2801 B.F. Terry Blvd, Rosenberg, Texas 77471
Phone (281) 344-8623
Texas Comptroller of Public Accounts
State tax and revenue agency.
Phone 800-252-5555
IRS Taxpayer Assistance Center - Houston (SW) Alliance
Federal tax help in person.
8701 S. Gessner, Houston, TX 77074
Phone (281) 721-7021
Sienna is unincorporated; Fort Bend County handles local property tax.
Tucker CPA estimates that 7% of the physician offices in ZIP codes 77459 and 77583 have 10 or more employees. Sienna is unincorporated, so Fort Bend County serves it in place of a city government.
The Fort Bend County Tax Assessor-Collector collects property tax, and the Fort Bend Central Appraisal District assesses property. The Texas Comptroller of Public Accounts and the IRS Taxpayer Assistance Center - Houston (SW) Alliance cover the state and federal sides.
Brent Tucker, CPA, reports monthly financial statements for Sienna practices and prepares each practice's return together with the owners' returns.
Source: each office's official website, checked October 16, 2026.
GET STARTED
Let's talk about your numbers.
Tell us a little about your business or situation, and Brent will reply personally. No office visit needed — meetings are by phone or video, wherever you’re based.
Call 888-762-4370 · Email brent@brenttuckercpa.com · Prefer to pick a time? Book a consultation online