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

Individual provider Surgical Physician Assistant · NPI 1407241300

Gwendolyn Champion, LSA is a Surgical Physician Assistant in Fresno, Texas. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

4026 E Teal Estates Cir
Fresno, TX 77545
Phone: (510) 984-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence SA00547

Record details

NPI number1407241300
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSA
Sole proprietorYes
NPI enumeratedMarch 30, 2015
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020