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Michael Dougherty
NPI 1720276579 · on the registry since 2007 · sole proprietor
Practice
- Address
- 9441 Lbj Fwy Ste 101
Dallas, TX 75243 - Phone
- (214) 575-9820
- Organisation at this address
- Supplemental Health Care
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 116
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas