MICKY K GAUTAM

DALLAS, TX
NPI1518067602
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TX  L1861)
Enumeration Date2006-09-25
Last Update Date2025-07-11
Business Address
Dr. MICKY K GAUTAM D.O.
7808 CLODUS FIELDS DR
DALLAS, TX 75251-2206
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