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Organization

SHIELD HEALTHCARE TX, INC.

Active
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Organization

SHIELD HEALTHCARE TX, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAREN DICKERSON (CFO)
(661) 294-4200
Entity
Organization

Contact information

Practice address
5212 TENNYSON PKWY SUITE 400, PLANO, TX 75024-4211
(469) 366-3668
Mailing address
27911 FRANKLIN PKWY, VALENCIA, CA 91355-4110
(661) 294-4200

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL

Other

Enumeration date
02/10/2017
Last updated
02/10/2017
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