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NPI Code Detail

MEDICARE: LAURA L CHAMPAGNE MD

MEDICARE: LAURA L CHAMPAGNE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianJ1922TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1260039681OTHERTXRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
385C460OTHERTXBCBS OF TX
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992758684
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA L CHAMPAGNE MD
Provider Business Mailing Address
First Line : 9055 KATY FREEWAY
Second Line : SUITE 418
City : HOUSTON
State : TX
Zip : 77024
Country : US
Telephone Number : 713-647-8855
Fax Number : 713-468-7370
Provider Business Practice Location Address
First Line : 7877 WILLOW CHASE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-5934
Country : US
Telephone Number : 832-869-4818
Fax Number : 832-241-2902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 01/28/2026

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Directions to “ LAURA L CHAMPAGNE MD” Practice Location

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