Provider Demographics
NPI:1386855088
Name:GALLAGHER, MICHAEL PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PATRICK
Last Name:GALLAGHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1780 W MCDERMOTT DR STE 200
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3363
Mailing Address - Country:US
Mailing Address - Phone:972-954-1469
Mailing Address - Fax:469-283-2743
Practice Address - Street 1:12400 COIT RD STE 505
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2038
Practice Address - Country:US
Practice Address - Phone:972-954-1469
Practice Address - Fax:469-283-2743
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN1322207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN1322OtherMEDICAL LICENSE
TXN1322OtherMEDICAL LICENSE