# MICHAEL B. DOUGHTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811990138
- **Authorized official:** JOY WESTFALL (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (512) 327-0461

## Contact information

- **Practice address:** 901 S. MOPAC EXPY. BUILDING 5, SUITE 220, AUSTIN, TX 78746
- **Practice address phone:** (512) 327-0461
- **Practice address fax:** (512) 327-0916
- **Mailing address:** 901 S. MOPAC EXPY. BUILDING 5, SUITE 220, AUSTIN, TX 78746
- **Mailing address phone:** (512) 327-0461
- **Mailing address fax:** (512) 327-0916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 17705 | TX | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 10/31/2016