| Organization Name: | BODYGUARD VITAL SCREEN LLC |
| NPI Number: | 1104158328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON WALSH (CEO/ VP) |
| Mailing Address: | 17109 Lone Cypress Helotes |
| State: | TX US |
| Postal Code: | 780233417 |
| Phone Number: | 8005517801 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2010 |
| NPI Last Update Date: | 02/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |