Organization
CHAMPION PRIMARY CARE INC
Active
Other names
Champion Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
EFRAIN EDUARDO GUTIERREZ (SUPERVISOR)
(956) 400-8810
Entity
Organization
Contact information
Practice address
104 W MAIN ST STE C, PFLUGERVILLE, TX 78660-2775
(956) 857-7086
(210) 455-2027
Mailing address
104 W MAIN ST STE C, PFLUGERVILLE, TX 78660-2775
(956) 857-7086
(210) 455-2027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
07/20/2026
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