P Praxis·MD
● Active Type 2 · Organization

Micky Gautam, D.o., P.A.

Psychiatry & Neurology·Dallas, TX· NPI 1679719751 · Enumerated 2008 · 17 years on NPI
Micky Gautam, D.o., P.A. is 1 of 4391 psychiatry & neurology organizations in Texas.
NPI age
17 years
Enumerated 2008-12-19
Primary specialty
Psychiatry & Neurology
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Gautam
Owner/president
Last NPPES update
2025-07-25
Source: monthly bulk 2026-05

How this organization compares

Across 4391 active psychiatry & neurology providers in Texas.

NPI age
17 years
≈ at median (16 yr)
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-12Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
7808 Clodus Fields Dr
Dallas, TX 752512206
📞 2142239235fax 8177309080
Mailing address
Po Box 561136
The Colony, TX 750566136
📞 2142239235fax 8177309080

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2026 W University Dr
Denton, TX 762010644
📞 2142239235fax 8177309080

Authorized official

Micky Keyurnath Gautam, D.O.
Owner/president
📞 2142239235

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Psychiatry & Neurology Primary
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    TX license #L1861 taxonomy 2084P0800X

Identifiers

TypeValueNotes
01 (TX) L1861 TX LICENSE

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Psych Health
    Type code 3 recorded 2008-12-19

Practice context

Multi-provider organization. 20 individual providers on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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