Active NPI
Shield Texas Healthcare Inc
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
National Provider Identifier
1871818252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SHIELD TEXAS HEALTHCARE INC
- Practice address
- 9901 Broadway St Ste 113
San Antonio, TX 78217-4916 - Phone
- (800) 495-0999
- Fax
- (210) 375-0009
- NPI assigned
- Mar 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Suor
- Title
- VP General Manager
- Phone
- (661) 294-4200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
9901 Broadway St Ste 113
San Antonio, TX 78217-4916
Mailing address
27911 Franklin Pkwy
Valencia, CA 91355-4110
Phone (661) 294-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200212000912 | TX | DME Supplier - Medical Supply Company | 3375979297 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Houston, TX |
| O20200313001158 | TX | DME Supplier - Medical Supply Company | 3375979297 | Practice locations: San Antonio, TX |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Carrollton, TX
- NPI 1043512114
3375979297
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1225337066
3375979297
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1225337066
O20200212000912
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Shield Texas Healthcare Inc | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nut… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
9901 Broadway
Ste 113
San Antonio, TX 78217
Phone (210) 375-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1871818252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27911 FRANKLIN PKWY",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913554110",
"telephone_number": "661-294-4200",
"fax_number": "661-294-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 BROADWAY ST STE 113",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782174916",
"telephone_number": "800-495-0999",
"fax_number": "210-375-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIELD TEXAS HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "SUOR",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "VP GENERAL MANAGER",
"authorized_official_telephone_number": "661-294-4200"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.