Vista Verde Medical Plaza

LBN: Shannon Clinic
Vista Verde Medical Plaza is an health care organization with primary practice located at 1801 N Bedell Ave , Del Rio TX 78840-8001. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Shannon Clinic can be contacted via phone (830) 768-9200, or through Bowen, Gary via phone (325) 658-1511.

Contact Information

Primary practice address
1801 N Bedell Ave Del Rio TX 78840-8001
Phone: (830) 768-9200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bowen, Gary
Phone: (325) 658-1511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Texas

Profile Details

NPI number 1790986719
LBN Legal business name Shannon Clinic
DBA Doing business as Vista Verde Medical Plaza
Authorized official Bowen, Gary
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Aug 22nd, 2020 - about 5 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.

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