Organization · Type 2 NPI

Shannon Medical Center

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · San Angelo, TX

NPI number 1336386028 Active

Practice location

2018 Pulliam St
San Angelo, TX 76905-5148

Mailing address

PO Box 1879
San Angelo, TX 76902-1879

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X00168 (TX)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1336386028

Shannon Medical Center's National Provider Identifier is 1336386028, issued on Jan 16, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in San Angelo, TX. The record was last updated on Aug 26, 2011.