Organization · Type 2 NPI
Shannon Senior Health Clinic
Adult Medicine Physician · San Angelo, TX
NPI number
1194935569
Active
Practice location
3016 Vista Del Arroyo Dr
San Angelo, TX 76904-6146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | F4722 (TX) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
4 other providers at this address
- Shannon Rural Health Clinics, IncFamily Medicine Physician San Angelo, TX NPI 1821289539
- Brandi L. Depalma, CNSAdult Health Clinical Nurse Specialist San Angelo, TX NPI 1881602514
- Brenda D. Owens, MDFamily Medicine Physician San Angelo, TX NPI 1801915509
- Kristy D. Edwards, MDFamily Medicine Physician San Angelo, TX NPI 1881642080
About NPI 1194935569
Shannon Senior Health Clinic's National Provider Identifier is 1194935569, issued on May 23, 2007. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in San Angelo, TX. The record was last updated on Aug 22, 2020.