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

Individual provider Internal Medicine Physician · NPI 1629272224

Aleksandra Vidacic, MD is an Internal Medicine in San Angelo, Texas. Qualified in 2002, 24 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 E Harris Ave
San Angelo, TX 76903-5904
Phone: (325) 653-6741
Fax: (325) 481-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence N4181 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence BP10026411 (TX)

Record details

NPI number1629272224
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2007
Last updated in NPPESDecember 2, 2014
Mailing addressPo Box 22000, San Angelo, TX 76902-7200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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