Shannon Clinic Rp
Shannon Clinic Rp is an Anatomic Pathology Physician in San Angelo, Texas. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
120 E Beauregard AveSan Angelo, TX 76903-5919
Phone: (325) 658-1511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X |
|---|---|
| Anatomic Pathology Physician | Taxonomy 207ZP0101X |
Record details
| NPI number | 1285818849 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ricardo Villarreal — Cao · (325) 481-8248 |
| NPI enumerated | December 19, 2007 |
| Last updated in NPPES | January 21, 2020 |
| Certification date | January 21, 2020 |
| Mailing address | Po Box 90259, San Angelo, TX 76902-8059 |