Individual provider Active NPI

William T McCullough, M.D.

  • Neurological Surgery Physician
  • Texarkana, TX
National Provider Identifier
1093786931
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
Q4201 Issued in TX
Practice address
2604 Saint Michael Dr Ste 237
Texarkana, TX 75503-2378
Phone
(903) 614-5180
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X Q4201 TX Primary

Addresses

Primary practice location

2604 Saint Michael Dr Ste 237
Texarkana, TX 75503-2378

Mailing address

PO Box 262
Melissa, TX 75454-0262
Phone (469) 656-9041

Other identifiers 1

IdentifierTypeStateIssuer
34876700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810001006 TX Practitioner - Neurosurgery 4587616347 Reassigns benefits to 1 organization
Practice locations: Allen, TX

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Neurological Surgery PLLCGroup PAC ID 4385186279, 2 clinicians
Acute Care Surgical Affiliates of Texas PAGroup PAC ID 9931446481, 44 clinicians

Practice addresses (Care Compare)

5680 Frisco Square Blvd
Suite 2400
Frisco, TX 75034-3300
Phone (469) 656-9041

613 Elizabeth St
Suite 200
Corpus Christi, TX 78404-2221
Phone (361) 434-0966

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q4201TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Neurological Surgery PLLC Neurological Surgery CurrentSince Jun 1, 2024 Accepting new patients
William T McCullough MD PA Neurological Surgery CurrentSince Feb 23, 2020 Accepting new patients

Locations

1101 Raintree Cir
Ste 120
Allen, TX 75013
Phone (214) 817-9301

5680 Frisco Square Blvd
Ste 2400
Frisco, TX 75034
Phone (469) 656-9041

Interoperability endpoints

  • Direct secure messaging: wmccullough@wmm-tx.direct.office.nextgen.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1093786931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754540262",
            "telephone_number": "469-656-9041",
            "fax_number": "469-656-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 237",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-614-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "Q4201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34876700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.