Provider Demographics
NPI:1629347505
Name:CHAMPIONS URGENT CARE
Entity Type:Organization
Organization Name:CHAMPIONS URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MONTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-785-7828
Mailing Address - Street 1:PO BOX 681247
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77268-1247
Mailing Address - Country:US
Mailing Address - Phone:137-857-8282
Mailing Address - Fax:737-200-7240
Practice Address - Street 1:4950 CYPRESS CREEK PARKWAY
Practice Address - Street 2:SUITE A-6
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4417
Practice Address - Country:US
Practice Address - Phone:281-444-1711
Practice Address - Fax:737-200-7240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3655261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care