Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN EDWARD CHAMPION, MD
ActiveAddiction Medicine · FORT WORTH, TX
Registration Details
- NPI Number
- 1275582439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2006 (19.95715854092 yrs)
- Last Updated
- Jul 1, 2009
- Licenses
-
E2505 (TX)E2505 (TX)E2505 (TX)E2505 (TX)
Practice Information
- Address
-
800 8TH AVESUITE 532FORT WORTH, TX, 761042604Browse TX providers · Browse ZIP 76104
- Phone
- 8173354005
- Fax
- 8173323369
- Primary Specialty
-
Addiction Medicine
207QA0000X
- Additional Specialty
- Addiction Medicine
- Additional Specialty
- Allergy & Immunology
- Additional Specialty
- Adolescent Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.