Champion First Assisting LLC
Specialist/Technologist, Other, Surgical Assistant in San Antonio, TX. Organization (NPI-2).
Details
- NPI
- 1154585461
- Entity type
- Organization (NPI-2)
- Legal business name
- Champion First Assisting LLC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2008
- Last updated
- Mar 13, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 94980 | TX | Yes |
Practice location
13910 Steadtree PassSan Antonio, TX 78253-4451
Phone 210-771-8506 · Fax 210-957-3583
Mailing address
13910 Steadtree PassSan Antonio, TX 78253-4451
Phone 210-771-8506 · Fax 210-957-3583
Other practice locations
San Antonio, TX 78255-3307
Phone 210-771-8506 · Fax 210-957-3583
Authorized official
Michael Arden St Clair
President
2107718506
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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