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Organization

SHANNON SPECIALTY CARE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRVIN E. ZEITLER D.O. (CHAIRMAN OF BOARD)
(325) 657-5303
Entity
Organization

Contact information

Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 657-5303
(325) 658-8295
Mailing address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 657-5303
(325) 658-8295

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
207KA0200X
Allergy Physician
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
207L00000X
Anesthesiology Physician
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207LP2900X
Pain Medicine (Anesthesiology) Physician
207LP3000X
Pediatric Anesthesiology Physician
207N00000X
Dermatology Physician
207ND0101X
MOHS-Micrographic Surgery Physician
207T00000X
Neurological Surgery Physician
207U00000X
Nuclear Medicine Physician
Primary
207X00000X
Orthopaedic Surgery Physician
207Y00000X
Otolaryngology Physician

Other

Enumeration date
01/03/2007
Last updated
09/11/2025
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