Shannon Clinic Rp
LBN: Shannon Clinic Rp
Shannon Clinic Rp is an health care organization with primary practice located at 120 E Beauregard Ave , San Angelo TX 76903-5919. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Shannon Clinic Rp can be contacted via phone (325) 658-1511, 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) 658-1511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1285818849 |
|---|---|
| LBN Legal business name | Shannon Clinic Rp |
| DBA Doing business as | |
| Authorized official | Villarreal, Ricardo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2007 |
| Last updated | Jan 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285818849 | NPPES |
| Texas | Other | 0057QQ | BCBS GROUP |
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