# SHIELD TEXAS HEALTHCARE INC

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

## Provider details

- **NPI number:** 1871818252
- **Authorized official:** MIKE SUOR (VP GENERAL MANAGER)
- **Authorized official phone:** (661) 294-4200

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 03/29/2010
- **Last updated:** 01/14/2025