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Organization

SHANNON CLINIC

Active
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Organization

SHANNON CLINIC

Active
Other names
DMEPOS
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO VILLARREAL (CAO)
(325) 481-8248
Entity
Organization

Contact information

Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL

Other

Enumeration date
08/08/2006
Last updated
01/21/2020
About Stedi
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