MEDICARE: CHAMPION SURGICAL ASSISTANTS STAFFING INC

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	246ZS0410X	Surgical Technologist

General Provider Information

NPI Number	:	1952561151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAMPION SURGICAL ASSISTANTS STAFFING INC

Provider Business Mailing Address
First Line	:	1940 FOUNTAIN VIEW DR # 432
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3206
Country	:	US
Telephone Number	:	281-772-8944
Fax Number	:

Provider Business Practice Location Address
First Line	:	1940 FOUNTAIN VIEW DR # 432
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-3206
Country	:	US
Telephone Number	:	281-772-8944
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NIKHAT SIDDIQI
Credential	:	MD
Telephone Number	:	281-772-8944

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	08/15/2025

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