# SHIELD MEDICAL SUPPLIES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639126154
- **Authorized official:** ROBERT E. DAVIS (DIRECTOR)
- **Authorized official phone:** (409) 379-9032

## Contact information

- **Practice address:** 405 RUSK ST, NEWTON, TX 75966-3625
- **Practice address phone:** (409) 379-4695
- **Practice address fax:** (409) 379-5367
- **Mailing address:** 405 RUSK ST, NEWTON, TX 75966-3625
- **Mailing address phone:** (409) 379-4695
- **Mailing address fax:** (409) 379-5367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0013124 | TX | Yes |

## Other

- **Enumeration date:** 05/29/2006
- **Last updated:** 08/22/2020