Organization Active NPI

Champion Anesthesia PLLC

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1548788995
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CHAMPION ANESTHESIA PLLC
Practice address
17070 Red Oak Dr Ste 503
Houston, TX 77090-2617
Phone
(281) 444-2399
NPI assigned
Sep 6, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gretchen Daulton
Title
Office Manager
Phone
(281) 444-2399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

17070 Red Oak Dr Ste 503
Houston, TX 77090-2617

Mailing address

17070 Red Oak Dr Ste 503
Houston, TX 77090-2617
Phone (281) 444-2399

Other practice location 1

17080 Red Oak Dr
Houston, TX 77090-2602
Phone (281) 444-2399

National Provider Directory

National Provider Directory

Locations

17070 Red Oak Dr
Ste 503
Houston, TX 77090
Phone (281) 444-2399

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548788995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 503",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902617",
            "telephone_number": "281-444-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 RED OAK DR STE 503",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902617",
            "telephone_number": "281-444-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17080 Red Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902602",
            "country_code": "US",
            "telephone_number": "281-444-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHAMPION ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAULTON",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-444-2399"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 21, 2022; 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.