Shannon Clinic Orthotics
LBN: Shannon Clinic
Shannon Clinic Orthotics is an health care organization with primary practice located at 120 E Beauregard Ave , San Angelo TX 76903-5919. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty.
Shannon Clinic can be contacted via phone (325) 653-9235, or through Villarreal, Ricardo via phone (325) 481-8248.
Contact Information
Primary practice address
120 E Beauregard Ave
San Angelo TX 76903-5919
Phone: (325) 653-9235
Fax: (325) 653-9284
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Customized Equipment | 332BC3200X | 1210 | Texas |
Profile Details
NPI number | 1285946913 |
---|---|
LBN Legal business name | Shannon Clinic |
DBA Doing business as | Shannon Clinic Orthotics |
Authorized official | Villarreal, Ricardo |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 10th, 2010 |
Last updated | Jan 21st, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285946913 | NPPES |
Texas | MEDICAID | 1033840001 |
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