Active NPI
Champion Anesthesia PLLC
- Anesthesiology Physician
- Houston, TX
National Provider Identifier
1548788995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.