Micky Gautam, D.o., P.a. is a Psychiatry Clinic in Greenville, Texas. It is located at 301 East Division Street, Greenville, TX and its contact number is 903-454-6000. The authorized person for Micky Gautam, D.o., P.a. is Dr. Micky Keyurnath Gautam
who is Owner/president of the clinic and his/her contact number is 903-783-0864. The primary license number for Micky Gautam, D.o., P.a. is L1861 (Psychiatry) in Texas. Micky Gautam, D.o., P.a. Clinic 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 and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Micky Gautam, D.o., P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Micky Gautam, D.o., P.a.
Specialization:
Psychiatry
Clinic Address:
301 East Division Street, Greenville, Texas, 75402-4199
Phone:
903-454-6000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Micky Keyurnath Gautam
Position:
Owner/president
Contact Number:
903-783-0864
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Micky Gautam, D.o., P.a. clinic are as mentioned below.
NPI Number:
1679719751
NPI Enumeration Date:
19 Dec, 2008
NPI Last Update On:
17 Sep, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Micky Gautam, D.o., P.a. are as mentioned below.
Specialization
License Number
State
Status
Psychiatry
L1861
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
L1861
Other
Texas
Tx License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Micky Gautam, D.o., P.a. Po Box 853072, Richardson, Texas
Zip:
75085-3072
Phone Number:
903-783-0864
Patients can reach Micky Gautam, D.o., P.a. at 301 East Division Street, Greenville, Texas or can call to book an appointment on 903-454-6000. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.