Daniel A Champagne, LAT
Individual provider Active NPI Athletic Trainer · Andrews, TX
NPI 1740532167 · NPPES record last updated Oct 9, 2012
Key facts
- NPI
- 1740532167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT4922 (TX)
- Practice address
- 1400 NW Avenue K
Andrews, TX 79714-3860 - Phone
- (432) 524-1973
- Fax
- (432) 524-1973
- NPI assigned
- Oct 9, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT4922 | TX | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews Isd | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT4922 | TX | Yes |
Addresses
Primary practice location
1400 NW Avenue K
Andrews, TX 79714-3860
Mailing address
405 NW 3Rd St
Andrews, TX 79714-5014
Phone (432) 523-3640
Other providers in Andrews, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.