Individual provider Active NPI

Marcus Wong, MD

  • Neurological Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1245723311
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
BP10064630 Issued in TX
Practice address
17189 Interstate 45 S Ste 675
Shenandoah, TX 77385-3320
Phone
(713) 441-0006
Fax
(713) 790-2727
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 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 BP10064630 TX Primary

Addresses

Primary practice location

17189 Interstate 45 S Ste 675
Shenandoah, TX 77385-3320

Mailing address

17189 Interstate 45 S Ste 675
Shenandoah, TX 77385-3320
Phone (713) 441-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10064630TXMDNeurological Surgery Physician

Interoperability endpoints

  • Direct secure messaging: mwong208002@directhoustonmethodist.org

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1245723311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 675",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "713-441-0006",
            "fax_number": "713-790-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17189 INTERSTATE 45 S STE 675",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853320",
            "telephone_number": "713-441-0006",
            "fax_number": "713-790-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "BP10064630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.