Organization
SHANNON CLINIC
Active
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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