Provider Demographics
NPI:1629416185
Name:SHIELDS CASE MANAGEMENT AND IMMUNIZATION SERVICES INC
Entity Type:Organization
Organization Name:SHIELDS CASE MANAGEMENT AND IMMUNIZATION SERVICES INC
Other - Org Name:SHIELDS CASE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
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 STE 277
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7353
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?:Yes
Parent Organization LBN:SHIELDS CASE MANAGEMENT AND IMMUNIZATION SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management