Individual
DR. MICHAEL JAMES CHAMPINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8210 WALNUT HILL LN, STE 130, LB 11, DALLAS, TX 75231-4418
(214) 750-1207
(214) 739-5029
Mailing address
8210 WALNUT HILL LN, STE 130, LB 11, DALLAS, TX 75231-4418
(214) 750-1207
(214) 739-5029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H7281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103397901
—
TX
05
—
103397902
—
TX
01
—
82V193
BCBS
TX
Enumeration date
08/07/2006
Last updated
05/03/2016
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