Provider Demographics
NPI:1316386295
Name:SHIELDS CASE MANAGEMENT AND IMMUNIZATION SERVICES INC
Entity Type:Organization
Organization Name:SHIELDS CASE MANAGEMENT AND IMMUNIZATION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:UGBAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-412-1213
Mailing Address - Street 1:6260 WESTPARK DR SUITE 277
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057
Mailing Address - Country:US
Mailing Address - Phone:832-412-1213
Mailing Address - Fax:
Practice Address - Street 1:6260 WESTPARK DR STE 277
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7353
Practice Address - Country:US
Practice Address - Phone:832-412-1213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare