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

Champions Spine Center PA

Organization Family Medicine Physician · NPI 1053690016

Champions Spine Center PA is a Family Medicine Physician in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Oyster Creek Dr Ste W
Lake Jackson, TX 77566-4117
Phone: (979) 299-1200
Fax: (979) 299-1205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N3996 (TX)

Record details

NPI number1053690016
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChampions Spine Center PA
Authorized official Thomas Nguyen — Billing Manager · (713) 774-5462
Other names Lake Jackson Family Practice Pa
NPI enumeratedAugust 9, 2011
Last updated in NPPESAugust 9, 2011
Mailing address14450 Tc Jester Blvd Ste 100, Houston, TX 77014-1332

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