Champion Wellness Physicians Group PLLC
Clinic/Center in Brownsville, TX. Organization (NPI-2).
NPI number1033650544
StatusActive
Last updated in NPPESMar 16, 2017
Details
- NPI
- 1033650544
- Entity type
- Organization (NPI-2)
- Legal business name
- Champion Wellness Physicians Group PLLC
- Organization subpart
- No
- Enumeration date
- Mar 16, 2017
- Last updated
- Mar 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | G8525 | TX | Yes |
| 261Q00000X | Clinic/Center | H8872 | TX |
Other names
- Alpha Men'S Clinic Brownsville (Doing Business As)
Practice location
4770 N Expressway # 83Suite 204
Brownsville, TX 78526-4165
Phone 956-350-8380 · Fax 956-350-8371
Mailing address
4770 N Expressway # 83Suite 204
Brownsville, TX 78526-4165
Phone 956-350-8380 · Fax 956-350-8371
Authorized official
Hector Ramos
Clinical Operations Manager
9564123131
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