Organization
DAVID C CHAMPION MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C CHAMPION M.D. (OWNER)
(956) 542-4100
Entity
Organization
Contact information
Practice address
3125 INTERNATIONAL BLVD, BROWNSVILLE, TX 78521-3213
(956) 542-4100
(956) 542-2558
Mailing address
3125 INTERNATIONAL BLVD, BROWNSVILLE, TX 78521-3213
(956) 542-4100
(956) 542-2558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070GQ BC/BS
MEDICAL DOCTOR
TX
05
—
181751201
—
TX
01
—
DF1405
RAILROAD MEDICARE
TX
Enumeration date
07/11/2006
Last updated
09/07/2007
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