Individual
THOMAS P CHAMPAGNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8166 MAIN ST, HOUMA, LA 70361
(985) 873-4235
(985) 851-4307
Mailing address
PO BOX 6037, HOUMA, LA 70361-6037
(985) 873-4235
(985) 851-4307
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1921149
—
LA
Enumeration date
02/08/2006
Last updated
07/08/2007
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