NPI: 1568691327
Provider Name: CHAMPIONS SPINE CENTER PA
Doing Business As: LAKE JACKSON FAMILY PRACTICE, PA
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization
Specialization: Orthopaedic Surgery of the Spine
Address:
14450 TC JESTER BLVD. SUITE 100
HOUSTON, TX
ZIP 77014
Phone: (281) 292-1121
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CHAMPIONS SPINE CENTER PA is an orthopaedic surgery of the spine orthopaedic surgery in Houston, TX. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. CHAMPIONS SPINE CENTER PA NPI is 1568691327. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Jackson Family Practice, Pa.
The provider's business location address is:
14450 TC JESTER BLVD. SUITE 100
HOUSTON, TX
ZIP 77014
Phone: (281) 292-1121
The provider's authorized official is Saqib A Siddiqui .
The authorized official title is Md/president and has the following contact phone number (281) 292-1121.
The enumeration date for this NPI number is 7/14/2009 and was last updated on 5/19/2011.