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Organization

SHANNON CLINIC

Active
Parent organization
SHANNON CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHANNON CLINIC
Authorized official
RICARDO VILLARREAL (CAO)
(325) 481-2200
Entity
Organization

Contact information

Practice address
2503 S GREGG ST STE C, BIG SPRING, TX 79720-6583
(432) 606-5178
(432) 606-5066
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 747-1511

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
03/05/2026
Last updated
03/06/2026
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