Organization
SHANNON MEDICAL CENTER
Active
Organization
SHANNON MEDICAL CENTER
Active
Parent organization
SHANNON MEDICAL CENTER
Other names
Shannon Dialysis Services - Brady
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANNON MEDICAL CENTER
Authorized official
BRYAN HORNER (CEO)
(325) 657-8266
Entity
Organization
Contact information
Practice address
2008 NINE RD, BRADY, TX 76825-7210
(325) 597-2901
Mailing address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
APPLIED FOR
TX
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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