Champion, Samantha Rae

Champion, Samantha Rae is an sole proprietor health care provider with primary practice located at 800 E Dove Ave Ste C , Mcallen TX 78504-2263. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Champion, Samantha Rae can be contacted via phone (956) 661-1000.

Contact Information

Primary practice address
800 E Dove Ave Ste C Mcallen TX 78504-2263
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 35237 Texas

Profile Details

NPI number 1114588134
LBN Legal business name Champion, Samantha Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2019
Last updated Jun 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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