Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Wong, MD

Individual provider Plastic Surgery Physician · NPI 1982083416

Stacy Wong, MD is a Plastic and Reconstructive Surgery in Temple, Texas. Graduated from University of Nevada School of Medicine in 2015, 11 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
11
Trained at
University of Nevada School of Medicine
Licensed in
CO, TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2401 S 31st St
Temple, TX 76508-0001
Phone: (254) 724-0630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence DR.0066287 (CO)
Plastic Surgery Physician Taxonomy 208200000X · Licence BP10053998 (TX)

Record details

NPI number1982083416
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2015
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021
Mailing address2401 S 31st St, Temple, TX 76508-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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