Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Champion Anesthesia Consultants, PLLC

Organization Anesthesiology Physician · NPI 1649676024

Champion Anesthesia Consultants, PLLC is an Anesthesiology Physician in Southlake, Texas. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

421 E State Highway 114
Southlake, TX 76092-3635
Phone: (817) 865-4516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1649676024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Tye — Owner/Physician · (817) 657-2030
NPI enumeratedNovember 12, 2014
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address7167 Colleyville Blvd Ste 104, Colleyville, TX 76034-8002

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