Organization · Type 2 NPI

Shannon Medical Center

Ambulatory Surgical Clinic/Center · San Angelo, TX

NPI number 1104886969 Active

Practice location

120 E Harris Ave
San Angelo, TX 76903-5904

Mailing address

PO Box 1879
San Angelo, TX 76902-1879

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1104886969

Shannon Medical Center's National Provider Identifier is 1104886969, issued on Mar 24, 2006. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in San Angelo, TX. The record was last updated on Aug 26, 2011.