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

Shannon Rural Health Clinics, Inc

Organization Family Medicine Physician · NPI 1821289539

Shannon Rural Health Clinics, Inc is a Family Medicine Physician in San Angelo, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3016 Vista Del Arroyo Dr
San Angelo, TX 76904-6146
Phone: (325) 949-9408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G5439 (TX)
Adult Medicine Physician Taxonomy 207QA0505X · Licence H4593 (TX)

Record details

NPI number1821289539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bob Kavisic — Office Manager · (325) 949-9408
Other names Senior Clinic
NPI enumeratedAugust 7, 2007
Last updated in NPPESAugust 7, 2007
Mailing addressPo Box 1879, San Angelo, TX 76902-1879

Other providers in San Angelo