institution
Shannon Clinic
Customized Equipment (DME) in San Angelo, Texas
NPI 1285946913

Shannon Clinic is a Customized Equipment (DME) based in San Angelo, TX and is specialized in Customized Equipment. Shannon Clinic practices in San Angelo, TX. The NPI Number for Shannon Clinic is 1285946913 and holds a License No. 1210 (Texas).

The current practice location address for Shannon Clinic is 120 E Beauregard Ave, San Angelo, TX and can be reached out via phone at 325-653-9235 and via fax at 325-653-9284.

Location: 120 E Beauregard Ave, San Angelo, TX, 76902-7200
institution
Provider Profile Details
NPI Number
1285946913
Provider Name
Shannon Clinic
Credential
Provider Entity Type
Organization
Address
120 E Beauregard Ave, San Angelo, TX, 76902-7200
Phone Number
325-653-9235
Fax Number
325-653-9284
Provider Enumeration Date
07/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033840001 05 TX
institution
Provider Business Practice Location Address Details
Address
120 E Beauregard Ave
City
State
Zip
76903-5919
Phone Number
325-653-9235
Fax Number
325-653-9284
person
Provider Business Mailing Address Details
Address
120 E Beauregard Ave
City
State
Zip
76903-5919
Phone Number
325-653-9235
Fax Number
325-653-9284
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
1210 (Texas)
Definition
Definition to come...
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