Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Champions Spine Center PA

Organization Family Medicine Physician · NPI 1053690016

Champions Spine Center PA provides Family Medicine Physician services in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2011.

Licensed in
TX
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Oyster Creek Dr Ste W
Lake Jackson, TX 77566-4117 Not confirmed with CMS for 15 years — call before visiting
Phone: (979) 299-1200
Fax: (979) 299-1205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N3996 (TX)

Record details

NPI number1053690016
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChampions Spine Center PA
Authorized official Thomas Nguyen — Billing Manager · (713) 774-5462
Other names Lake Jackson Family Practice Pa
NPI enumeratedAugust 9, 2011
Last updated in NPPESAugust 9, 2011
Mailing address14450 Tc Jester Blvd Ste 100, Houston, TX 77014-1332

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