Organization
DR. MICHAEL DUCHAMP DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID DUCHAMP D.O. (PRESIDENT)
(972) 772-8577
Entity
Organization
Contact information
Practice address
930 W RALPH HALL PKWY, SUITE 108, ROCKWALL, TX 75032-6665
(972) 772-8577
(972) 772-8575
Mailing address
PO BOX 506, ROCKWALL, TX 75087-0506
(972) 772-8577
(972) 772-8575
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DOH9894
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096762202
—
TX
01
—
DOH9894
LICENSE/PERMIT
TX
Enumeration date
01/21/2010
Last updated
01/21/2010
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