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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICKY GAUTAM, D.O., P.A.

Active Organization

MICKY GAUTAM, D.O., P.A. is a Psychiatry organization located in DALLAS, Texas. NPI 1679719751 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · DALLAS, TX

Registration Details

NPI Number
1679719751
Provider Type
Organization
NPI Issued
Dec 19, 2008 (17.649773954898 yrs)
Last Updated
Jul 25, 2025
License
L1861 (TX)

Practice Information

Address
7808 CLODUS FIELDS DR
DALLAS, TX, 752512206
Browse TX providers · Browse ZIP 75251
Phone
2142239235
Fax
8177309080
Primary Specialty
Psychiatry
2084P0800X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.