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  • 741517
CCN: 741517 NPI: 1336481258 Organization

CHAMPION HEALTHCARE OF NORTH TEXAS

560 N KIMBALL AVE STE 140
SOUTHLAKE, TX 760926685

Contact Information

  • Phone 8884502884
  • Fax 8176323225
  • Enumeration Date 2013-03-18
  • Last Updated 2025-11-03

Taxonomies

  • Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 19124
providerType 35
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 35
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 35
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 35
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 35
censusDivision 7
cbsaActualGeographicLocation 19124
providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 19124
providerType 35
specialPaymentIndicator
carrierCode 04412
localityCode 99
cbsaActualGeographicLocation 19124
providerType 35
specialPaymentIndicator
carrierCode 04412
localityCode 99

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