Provider Demographics
NPI:1679377790
Name:GATAN, MICHAELA (MD)
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:
Last Name:GATAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MICHAELA
Other - Middle Name:JOY
Other - Last Name:GATAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3526 PLAZAS DEL LAGO DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7700
Mailing Address - Country:US
Mailing Address - Phone:956-874-9444
Mailing Address - Fax:
Practice Address - Street 1:7200 CAMBRIDGE ST FL 9
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4202
Practice Address - Country:US
Practice Address - Phone:713-798-6151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program