Most Relevant Information
Provider Data
| NPI Number: | 1003180993 |
| Provider Name: | AMANDA HOPE CHAMPLAIN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | S1782 |
Most Important Dates
| Enumeration Date: | 02/24/2012 |
| Last Updated: | 10/20/2021 |
Provider Practice Location
4685 ELDORADO PKWY STE 100
FRISCO
TX
750330289
Practice Location Phone/Fax
| Phone: | 9723352727 |
| Fax: | 9726688444 |
Provider Mailing Location
4685 ELDORADO PKWY STE 100
FRISCO
TX
750330289
Provider Mailing Phone/Fax
| Phone: | 9723352727 |
| Fax: |