Shannon Clinic
Shannon Clinic is a Customized Equipment (DME) in San Angelo, Texas. Licensed in Texas. Registered with an NPI since 2010.
- Licensed in
- TX
- In the registry since
- 2010
Practice location Address checks out
120 E Beauregard AveSan Angelo, TX 76903-5919
Phone: (325) 653-9235
Fax: (325) 653-9284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 1210 (TX) |
|---|
Record details
| NPI number | 1285946913 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ricardo Villarreal — Cao · (325) 481-8248 |
| Other names | Shannon Clinic Orthotics; Shannon Clinic Orthotics |
| NPI enumerated | July 10, 2010 |
| Last updated in NPPES | January 21, 2020 |
| Certification date | January 21, 2020 |
| Mailing address | Po Box 22000, San Angelo, TX 76902-7200 |