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
—
—
Other
Enumeration date
02/07/2022
Last updated
07/12/2023
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