Organization · Type 2 NPI

Shannon Primary Care Clinic

Emergency Medicine Physician · San Angelo, TX

NPI number 1700933975 Active

Practice location

120 E Harris Ave
San Angelo, TX 76903-5904

Fax (325) 658-8295

Specialties and licenses

Taxonomy	Code	License
Emergency Medicine Physician Primary	207P00000X	None listed
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Pediatric Adolescent Medicine Physician	2080A0000X	None listed
Hospitalist Physician	208M00000X	None listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1700933975

Shannon Primary Care Clinic's National Provider Identifier is 1700933975, issued on Jan 3, 2007. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in San Angelo, TX. The record was last updated on Sep 11, 2025.