Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine Shield, PLLC

Organization Electrodiagnostic Medicine Physician · NPI 1154784189

Spine Shield, PLLC is an Electrodiagnostic Medicine Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10001 S Western Ave Ste 101
Oklahoma City, OK 73139
Phone: (210) 598-4277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X
Electrodiagnostic Medicine Physician Taxonomy 204R00000X
Neurology Physician Taxonomy 2084N0400X
Electroneurodiagnostic Specialist/Technologist Taxonomy 246ZE0600X

Record details

NPI number1154784189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roxanna Laroque — Director Of Client Experience · (210) 598-4277
NPI enumeratedMarch 29, 2016
Last updated in NPPESNovember 19, 2024
Certification dateSeptember 1, 2022
Mailing address1141 N Loop 1604 E #105-612, San Antonio, TX 78232

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