MEDICARE: CHAMPIONS URGENT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	K3655	TX

General Provider Information

NPI Number	:	1629347505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAMPIONS URGENT CARE

Provider Business Mailing Address
First Line	:	PO BOX 681247
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77268-1247
Country	:	US
Telephone Number	:	137-857-8282
Fax Number	:	737-200-7240

Provider Business Practice Location Address
First Line	:	4950 CYPRESS CREEK PARKWAY
Second Line	:	SUITE A-6
City	:	HOUSTON
State	:	TX
Zip	:	77069-4417
Country	:	US
Telephone Number	:	281-444-1711
Fax Number	:	737-200-7240

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. ANA MARIA MONTERO
Credential	:
Telephone Number	:	713-785-7828

Provider Enumeration Date	:	12/21/2011
Last Update Date	:	08/03/2023

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Directions to “CHAMPIONS URGENT CARE ” Practice Location

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