Organization Active NPI

Champions Point Family Clinic LLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1528555307
Registry record updated Jul 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHAMPIONS POINT FAMILY CLINIC LLC
Practice address
5367 W Richey Rd
Houston, TX 77066
Phone
(713) 423-4157
NPI assigned
Apr 17, 2018
Last updated
Jul 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2018

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

Authorized official

Name
Dr. Raquel Torres, DNP, FNP-CNPI 1225404171
Title
Member/FNP-C
Phone
(281) 895-3008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

5367 W Richey Rd
Houston, TX 77066

Mailing address

5367 W Richey Rd
Houston, TX 77066-3323
Phone (281) 895-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180720000181 TX Part B Supplier - Clinic/Group Practice 0345597431 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2152617Champions Point Family Clinic LLC5367 W Richey Rd, Houston, TX 77066Certificate of waiverAug 12, 2026

National Provider Directory

National Provider Directory

Locations

5367 W Richey Rd
Houston, TX 77066
Phone (281) 895-3008

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531612800000",
    "number": "1528555307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5367 W RICHEY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663323",
            "telephone_number": "281-895-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5367 W RICHEY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77066",
            "telephone_number": "713-423-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONS POINT FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-07-15",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "MEMBER/FNP-C",
        "authorized_official_telephone_number": "281-895-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.