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Dr. John Edward Champion, MD
Pediatric Adolescent Medicine Physician in Fort Worth, Texas
NPI 1275582439

John Edward Champion is a Pediatric Adolescent Medicine Physician based in Fort Worth, TX and is specialized in Adolescent Medicine. John Edward Champion practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for John Edward Champion is 1275582439 and holds a License No. E2505 (Texas).

The current practice location address for John Edward Champion is 800 8Th Ave, Fort Worth, TX and can be reached out via phone at 817-335-4005 and via fax at 817-332-3369.

Location: 800 8Th Ave, Fort Worth, TX, 76104-2604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275582439
Provider Name
John Edward Champion
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 8Th Ave, Fort Worth, TX, 76104-2604
Phone Number
817-335-4005
Fax Number
817-332-3369
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132990609 01 TX TEXAS HEALTH STEPS
132990602 05 TX
4019283 01 TX AETNA HMO PROVIDER ID
00TD97 01 TX BCBS ID NUMBER
institution
Provider Business Practice Location Address Details
Address
800 8Th Ave
City
Fort Worth
State
Texas
Zip
76104-2604
Phone Number
817-335-4005
Fax Number
817-332-3369
person
Provider Business Mailing Address Details
Address
800 8Th Ave
City
Fort Worth
State
Texas
Zip
76104-2604
Phone Number
817-335-4005
Fax Number
817-332-3369
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
E2505 (Texas)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Adolescent Medicine
Taxonomy
207RA0000X
License No.
E2505 (Texas)
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
E2505 (Texas)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
E2505 (Texas)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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