TANYA R CHAMPA

HEALTHTEXAS PROVIDER NETWORK

Dr TANYA R CHAMPA is a female medical professional, specializing in Nurse Practitioner. She graduated in 2006.

Contact

HEALTHTEXAS PROVIDER NETWORK

200 N VIRGINIA ST
TERRELL
TX
751602732

Tel: 9725517500

TANYA R CHAMPA Information

Npi 1285752444
Pac Id 9335291871
Professional Enrollment Id I20150526002126
Last Name CHAMPA
First Name TANYA
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2006
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name HEALTHTEXAS PROVIDER NETWORK
Group Practice Pac Id 0345138889
Number Of Group Practice Members 12
Line 1 Street Address 200 N VIRGINIA ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TERRELL
State TX
Zip Code 751602732
Phone Number 9725517500
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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