MEDICARE: SHAINA WANG GONG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YS0123X	Facial Plastic Surgery Physician	W5352	TX

General Provider Information

NPI Number	:	1053999102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAINA WANG GONG MD

Provider Business Mailing Address
First Line	:	6420 BEE CAVES RD UNIT 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6047
Country	:	US
Telephone Number	:	512-401-2500
Fax Number	:	512-401-2501

Provider Business Practice Location Address
First Line	:	6420 BEE CAVES RD UNIT 100
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78746-6047
Country	:	US
Telephone Number	:	512-401-2500
Fax Number	:	512-401-2501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2021
Last Update Date	:	06/27/2026

Similar Medicare Providers

1780144386 — JEREMY BARR
Practice Location Address:

6420 BEE CAVES RD UNIT 100
AUSTIN, TX
78746-6047

Practice Phone: 512-401-2500
Practice Fax:

1265547913 — DR. REGAN SCHULZE DC
Practice Location Address:

1518 AUSTIN HWY STE 13
SAN ANTONIO, TX
78218-6047

Practice Phone: 210-824-9595
Practice Fax: 210-826-8588

1841935343 — JENNIFER CANTU LPC
Practice Location Address:

8306 SPICEWOOD SPRINGS CV
AUSTIN, TX
78759-6047

Practice Phone: 512-289-4744
Practice Fax:

1467243535 — GARRETT RIMEY
Practice Location Address:

6620 KIRKWYND DR
AUSTIN, TX
78754-6047

Practice Phone: 847-840-4308
Practice Fax:

1467434142 — EDWARD D BUCKINGHAM M.D.
Practice Location Address:

2745 BEE CAVES ROAD , SUITE 101
AUSTIN, TX
78746

Practice Phone: 512-401-2500
Practice Fax: 512-401-2501

1770554800 — BUCKINGHAM CENTER FOR FACIAL PLASTIC SURGERY PA
Practice Location Address:

2745 BEE CAVES RD , SUITE 101
AUSTIN, TX
78746

Practice Phone: 512-401-2500
Practice Fax: 512-401-2501

Directions to “ SHAINA WANG GONG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.