| Champagne Psychiatry Pllc | |
|
10857 Kuykendahl Rd Ste 210 Spring TX 77382-2936 | |
| (281) 475-4428 | |
| (281) 619-7042 |
| Full Name | Champagne Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10857 Kuykendahl Rd Ste 210, Spring, Texas |
| Authorized Official Name and Position | Laura L Champagne (PRESIDENT) |
| Authorized Official Contact | 2814754428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Champagne Psychiatry Pllc 10857 Kuykendahl Rd Ste 210 Spring TX 77382-2936 Ph: (281) 475-4428 | Champagne Psychiatry Pllc 10857 Kuykendahl Rd Ste 210 Spring TX 77382-2936 Ph: (281) 475-4428 |
| NPI Number | 1194373555 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 4688904436 |
|---|---|
| Medicare Enrollment ID | O20190923000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194373555 | NPI | - | NPPES |
| Provider Name | Laura L Champagne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992758684 PECOS PAC ID: 8022110113 Enrollment ID: I20070828000520 |
| Provider Name | Kaeside Chukwudi Unachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306477906 PECOS PAC ID: 3375970460 Enrollment ID: I20200302002507 |
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