Shannon Clinic

LBN: Shannon Clinic
Shannon Clinic is an health care organization with primary practice located at 120 E Beauregard Ave , San Angelo TX 76903-5919. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Shannon Clinic can be contacted via phone (325) 658-1511, or through Villarreal, Ricardo via phone (325) 481-2200.

Contact Information

Primary practice address
120 E Beauregard Ave San Angelo TX 76903-5919
Fax: (325) 481-2166
Website:
Authorized official contact:
Name: Villarreal, Ricardo

Profile Details

NPI number 1770587149
LBN Legal business name Shannon Clinic
DBA Doing business as
Authorized official Villarreal, Ricardo
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 18th, 2024 - about 11 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770587149 NPPES
Texas Other 127005002 CSHCN
Texas Other CL8387 CSHCN
Texas MEDICAID 127005001 CSHCN
Texas Other 00T83Z CSHCN

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