# CHAMPION DME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760306294
- **Authorized official:** PAULINE SOTELO (OPERATIONS MANAGER)
- **Authorized official phone:** (469) 552-3649

## Contact information

- **Practice address:** 2409 ALCO AVE, DALLAS, TX 75211-2614
- **Practice address phone:** (469) 935-6709
- **Practice address fax:** (469) 533-0421
- **Mailing address:** 1420 W MOCKINGBIRD LN STE 550, DALLAS, TX 75247-4973
- **Mailing address phone:** (469) 935-6709
- **Mailing address fax:** (469) 533-0421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2026
- **Last updated:** 08/06/2026
