MICKY K GAUTAM

DESOTO, TX
NPI1518067602
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  L1861)
Enumeration Date2006-09-25
Last Update Date2026-08-13
Business Address
Dr. MICKY K GAUTAM D.O.
800 KIRNWOOD DR
DESOTO, TX 75115-2000
Phone number: 214-223-9235
Mailing Address
Dr. MICKY K GAUTAM D.O.
PO BOX 561136
THE COLONY, TX 75056-6136
Phone number: 214-223-9235
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