Rafferty, Michael Patrick

Rafferty, Michael Patrick is an individual health care provider with primary practice located at 6201 Harry Hines Blvd , Dallas TX 75390-7167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Rafferty, Michael Patrick can be contacted via phone (214) 633-0580.

Contact Information

Primary practice address
6201 Harry Hines Blvd Dallas TX 75390-7167
Fax: (214) 633-3559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X T1024 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD25267 Oklahoma
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X T1024 Texas

Profile Details

NPI number 1215074687
LBN Legal business name Rafferty, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215074687 NPPES
Oklahoma MEDICAID 200098570 A

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