OrganizationActive
Spine Shield, PLLC
NPI 1154784189 · Clinical Neurophysiology Physician · Oklahoma City, OK
Provider details
- NPI number
- 1154784189
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Roxanna Laroque, Director of Client Experience
Practice location
10001 S. Western Ave, Suite 101
Oklahoma City, OK 73139
Phone: (210) 598-4277
Mailing address
1141 N Loop 1604 E #105-612
San Antonio, TX 78232
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.