Provider Demographics
NPI:1427518026
Name:CHAMPION BILLING, LLC
Entity type:Organization
Organization Name:CHAMPION BILLING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:JERE
Authorized Official - Middle Name:H
Authorized Official - Last Name:ODOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-851-1078
Mailing Address - Street 1:13727 NOEL RD
Mailing Address - Street 2:TOWER II STE 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-1338
Mailing Address - Country:US
Mailing Address - Phone:972-851-1078
Mailing Address - Fax:972-920-3880
Practice Address - Street 1:13727 NOEL RD
Practice Address - Street 2:TOWER II STE 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-1338
Practice Address - Country:US
Practice Address - Phone:972-851-1078
Practice Address - Fax:972-920-3880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty