| Champion Tms Llc | |
|
771 E Southlake Blvd Ste 223 Southlake TX 76092-7065 | |
| (817) 803-2715 | |
| Not Available |
| Full Name | Champion Tms Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 771 E Southlake Blvd Ste 223, Southlake, Texas |
| Authorized Official Name and Position | Russell Tennyson Toll (MANAGING MEMBER) |
| Authorized Official Contact | 5126633142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Tms Llc 771 E Southlake Blvd Ste 223 Southlake TX 76092-7065 Ph: (817) 803-2715 | Champion Tms Llc 771 E Southlake Blvd Ste 223 Southlake TX 76092-7065 Ph: (817) 803-2715 |
| NPI Number | 1942192232 |
|---|---|
| Provider Enumeration Date | 07/19/2025 |
| Last Update Date | 08/28/2025 |
| Certification Date | 08/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942192232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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