Champion Wellness Physicians Group PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G8525 Issued in TX

Legal business name

CHAMPION WELLNESS PHYSICIANS GROUP PLLC

Doing business as

Alpha Men's Clinic Brownsville

Practice address

4770 N Expressway # 83
Suite 204
Brownsville, TX 78526-4165

Phone

(956) 350-8380

Fax

(956) 350-8371

NPI assigned

Mar 16, 2017

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hector Ramos Jr.

Title

Clinical Operations Manager

Phone

(956) 412-3131

Specialties & licenses 2

Addresses

Other names 1

• Alpha Men's Clinic Brownsville Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1033650544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY # 83",
            "address_2": "SUITE 204",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-8380",
            "fax_number": "956-350-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY # 83",
            "address_2": "SUITE 204",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264165",
            "telephone_number": "956-350-8380",
            "fax_number": "956-350-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION WELLNESS PHYSICIANS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "956-412-3131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "H8872",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "G8525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Men's Clinic Brownsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dagoberto Cervantes, RN
• Edna Elizabeth Cervantes
• Jaime Eduardo Cervantes
• Michelle Cervantes, RN
• Aurora Aracely Cespedes Madrigal, REGISTERED DIETITIAN
• David C Champion, M.D.
• Jonathan I Chapa, RDN, CSCS
• Odalis Chapa
• Charles Rurangirwa,MD PA
• Charles W.Zavala,M.D.,P.a.

• Clinic/Center in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.