Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Clinic

Organization Allergy & Immunology Physician · NPI 1770587149

Shannon Clinic is an Allergy & Immunology Physician in San Angelo, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
Specialties on file
15

Practice location Address checks out

120 E Beauregard Ave
San Angelo, TX 76903-5919
Phone: (325) 658-1511
Fax: (325) 481-2166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (TX)
Allergy & Immunology Physician Taxonomy 207K00000X (TX)
Allergy Physician Taxonomy 207KA0200X (TX)
Anesthesiology Physician Taxonomy 207L00000X (TX)
Dermatology Physician Taxonomy 207N00000X (TX)
Internal Medicine Physician Taxonomy 207R00000X (TX)
Neurological Surgery Physician Taxonomy 207T00000X (TX)
Obstetrics & Gynecology Physician Taxonomy 207V00000X (TX)
Ophthalmology Physician Taxonomy 207W00000X (TX)
Orthopaedic Surgery Physician Taxonomy 207X00000X (TX)
Otolaryngology Physician Taxonomy 207Y00000X (TX)
Blood Banking & Transfusion Medicine Physician Taxonomy 207ZB0001X (TX)
Pediatrics Physician Taxonomy 208000000X (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X (TX)
Surgery Physician Taxonomy 208600000X (TX)

Record details

NPI number1770587149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Villarreal — Coo · (325) 747-2200
NPI enumeratedJune 13, 2005
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing addressPo Box 22000, San Angelo, TX 76902-7200