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Michael Patrick Gallagher

Anesthesiology

Allopathic & Osteopathic Physicians

12400 Coit Rd Ste 505, Dallas, TX 75251-2038

PECOS Enrollment

This provider is enrolled in PECOS as MICHAEL GALLAGHER.

Based on the most recent information from CMS, provider Michael Patrick Gallagher is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1386855088
Provider Type
Individual
Full Name
Gallagher, Michael Patrick
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/24/2007
Last Updated
3/7/2023

Contact Information

Practice Location

12400 Coit Rd Ste 505, Dallas, TX 75251-2038

(972) 954-1469

(469) 283-2743

Mailing Location

1780 W Mcdermott Dr Ste 200, Allen, TX 75013-3363

(972) 954-1469

(469) 283-2743

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License N1322 Texas

Provider Identifiers

ID	Description	Issuer
ID N1322	Description Other	Issuer MEDICAL LICENSE Texas

Michael Patrick Gallagher

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Gad, Laura Marie

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Brandon, Michael S

Marlowe, Brannon

Shull, Cameron

Makonza Goto, Rudo

Clifton, J Cannon

Tsang, Elvis

Carvajal Carvajal, Tomas