MEDICARE: MITCHELL WONG 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	207Q00000X	Family Medicine Physician	667343	TX

General Provider Information

NPI Number	:	1184150138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITCHELL WONG MD

Provider Business Mailing Address
First Line	:	7200 WYOMING SPRINGS DR
Second Line	:	STE 600
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4305
Country	:	US
Telephone Number	:	512-244-1995
Fax Number	:	877-215-6813

Provider Business Practice Location Address
First Line	:	7200 WYOMING SPRINGS DR STE 600
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4305
Country	:	US
Telephone Number	:	512-244-1995
Fax Number	:	877-215-6813

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	08/25/2025

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Directions to “ MITCHELL WONG MD” Practice Location

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