Myra Wong, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

T0390 Issued in TX

Practice address

2801 Franciscan Dr
Bryan, TX 77802-2544

Phone

(979) 776-3777

NPI assigned

Apr 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Pathology

Education

Baylor College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
• HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gulf Coast Pathology Program PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1629643069
  Medicare reassignment Care Compare group NPD
• Baylor College of Medicine

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, TX
  • NPI 1316921026
  NPD
• Austin Pathology Associates

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
  • NPI 1669414330
  NPD (past)
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• Gulf Coast Pathology Program PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1619745288
  NPD (past)
• Ut Physicians

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD (past)

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

• KPH-Consolidation, Inc.

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• North Houston - TRMC, LLC

  • General Acute Care Hospital
  • Tomball, TX
  • NPI 1750819025
  Care Compare affiliation

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1346650371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 FRANCISCAN DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022544",
            "telephone_number": "979-776-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FRANCISCAN DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022544",
            "telephone_number": "979-776-3777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_2": "Suite MSB 1.134",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6500",
            "fax_number": "713-500-6497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-798-4661",
            "fax_number": "713-798-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "MYRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD468784",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "T0390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Wiss, PT, DPT, MFA
• Storrie Woerz, LPC-A
• Tiffany Wolfe, RBT
• Justin J Wolfshohl, M.D.
• Savannah Woller
• Delaney Wood
• Joshua Abbott Woodall, ATC, LAT
• Tristan Ashley Woolstenhulme, DO
• Workers Medical PA
• Stephen R. Wright, DDS

• Anatomic Pathology & Clinical Pathology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.