Provider Demographics
NPI:1083367460
Name:CHAMPIONS CHOICE PAIN & INJURY CLINICS
Entity type:Organization
Organization Name:CHAMPIONS CHOICE PAIN & INJURY CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:HUMBERTO
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-829-3577
Mailing Address - Street 1:3111 FRY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6742
Mailing Address - Country:US
Mailing Address - Phone:281-829-3577
Mailing Address - Fax:281-829-3574
Practice Address - Street 1:3111 FRY RD STE 170
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6742
Practice Address - Country:US
Practice Address - Phone:281-829-3577
Practice Address - Fax:281-829-3574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty