Organization
SHANNON MEDICAL CENTER
Active
Organization
SHANNON MEDICAL CENTER
Active
Other names
SHANNON CANCER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PLYMELL (CEO)
(325) 657-8217
Entity
Organization
Contact information
Practice address
131 E BEAUREGARD AVE, STE 102, SAN ANGELO, TX 76903
(325) 657-8236
Mailing address
131 E BEAUREGARD AVE, STE 102, SAN ANGELO, TX 76903
(325) 657-8236
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
05/21/2024
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