P Praxis·MD
● Active Type 1 · Individual

Mary Wong, M.D.

Pathology·Lakeway, TX· NPI 1790171106 · Enumerated 2015 · 11 years on NPI
Wong is 1 of 3 pathology providers in Lakeway and 1 of 1597 in Texas.
NPI age
11 years
Enumerated 2015-04-13
Primary specialty
Pathology
Plus 2 subspecialties
Licensed in
TX, OR, CA
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1597 active pathology providers in Texas.

NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
3 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
100 Medical Pkwy
Lakeway, TX 787385621
📞 5125715000
Mailing address
Po Box 844658
Dallas, TX 752844658
📞 2547242111

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3181 Sw Sam Jackson Park Rd
Portland, OR 972393011
📞 5034948276fax 5034942025

Specialties

  • Pathology Primary
    A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses...
    TX license #T6417OR license #MD198522 taxonomy 207ZP0102X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 46 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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