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Organization
CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR
Active
Organization
CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI PICKERING (CREDENTIALING)
(409) 239-9467
Entity
Organization
Contact information
Practice address
2850 EASTEX FWY # 100, BEAUMONT, TX 77703-4645
(409) 347-8989
(409) 347-8979
Mailing address
2850 EASTEX FWY # 100, BEAUMONT, TX 77703-4645
(409) 347-8989
(409) 347-8979
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
07/12/2023
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