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Organization

SHIELD TEXAS HEALTHCARE INC

Active
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Organization

SHIELD TEXAS HEALTHCARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE SUOR (VP GENERAL MANAGER)
(661) 294-4200
Entity
Organization

Contact information

Practice address
9901 BROADWAY ST STE 113, SAN ANTONIO, TX 78217-4916
(800) 495-0999
(210) 375-0009
Mailing address
27911 FRANKLIN PKWY, VALENCIA, CA 91355-4110
(661) 294-4200
(661) 294-1042

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
03/29/2010
Last updated
01/14/2025
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