Individual
DR. MICHAEL PATRICK RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-7167
(214) 633-0580
(214) 633-3559
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
T1024
TX
2084P0800X
Psychiatry Physician
MD25267
OK
2084P0800X
Psychiatry Physician
Primary
T1024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200098570 A
—
OK
Enumeration date
02/01/2007
Last updated
06/04/2021
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