Individual
MR. DANIEL A CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
1400 NW AVENUE K, ANDREWS, TX 79714-3860
(432) 524-1973
(432) 524-1973
Mailing address
405 NW 3RD ST, ANDREWS, TX 79714-5014
(432) 523-3640
(432) 524-1973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT4922
TX
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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