Organization
CHAMPAGNE PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L CHAMPAGNE MD (PRESIDENT)
(281) 475-4428
Entity
Organization
Contact information
Practice address
10857 KUYKENDAHL RD STE 210, SPRING, TX 77382-2936
(281) 475-4428
(281) 619-7042
Mailing address
10857 KUYKENDAHL RD STE 210, SPRING, TX 77382-2936
(281) 475-4428
(281) 619-7042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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