Shannon Clinic Rp
NPI #1285818849 in San Angelo, Texas
Provider Information
- NPI Number
- 1285818849
- Entity Type
- Organization
- Organization Name
- Shannon Clinic Rp
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Dec 19, 2007
- Last Updated
- Jan 21, 2020
Practice Location
- Address
- 120 E BEAUREGARD AVE
- City
- San Angelo
- State
- Texas
- ZIP Code
- 76903-5919
- Phone
- (325) 658-1511
Authorized Official
- Name
- RICARDO VILLARREAL
- Title
- CAO
- Phone
- (325) 481-8248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pathology - Anatomic Pathology — Anatomic Pathology |
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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