Provider Demographics
NPI:1952561151
Name:CHAMPION SURGICAL ASSISTANTS STAFFING INC
Entity type:Organization
Organization Name:CHAMPION SURGICAL ASSISTANTS STAFFING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIKHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDIQI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:346-352-4171
Mailing Address - Street 1:1940 FOUNTAIN VIEW DR # 432
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-3206
Mailing Address - Country:US
Mailing Address - Phone:346-352-4171
Mailing Address - Fax:832-623-7987
Practice Address - Street 1:1940 FOUNTAIN VIEW DR # 432
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3206
Practice Address - Country:US
Practice Address - Phone:346-352-4171
Practice Address - Fax:832-623-7987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Multi-Specialty