Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Micky K Gautam, DO

Individual provider Psychiatry Physician · NPI 1518067602

Dr. Micky K Gautam, DO is a Psychiatry in Dallas, Texas. Graduated from University of North Texas Hsc, College of Osteopathic Med in 1997, 29 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
29
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
TX
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone: (214) 223-9235
Fax: (817) 730-9080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2026 W University Dr, Denton, TX 76201-0644 — (214) 223-9235

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence L1861 (TX)

Record details

NPI number1518067602
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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