Provider Demographics
NPI:1477744654
Name:GALLAGHER, SEAN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:MICHAEL
Last Name:GALLAGHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3901 MEDICAL PKWY
Mailing Address - Street 2:STE 301
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-4022
Mailing Address - Country:US
Mailing Address - Phone:512-960-4590
Mailing Address - Fax:512-452-4590
Practice Address - Street 1:3901 MEDICAL PKWY
Practice Address - Street 2:STE 301
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-4022
Practice Address - Country:US
Practice Address - Phone:512-960-4590
Practice Address - Fax:512-452-4590
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2018-04-10
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Provider Licenses
StateLicense IDTaxonomies
TXP1757207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
7503710001Medicare NSC