Organization · Type 2 NPI

Shannon Clinic

Family Medicine Physician · San Angelo, TX

NPI number 1770587149 Active

Practice location

120 E Beauregard Ave
San Angelo, TX 76903-5919

Call (325) 658-1511 Map

Fax (325) 481-2166

Mailing address

PO Box 22000
San Angelo, TX 76902-7200

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000XNone listed
Allergy Physician 207KA0200XNone listed
Anesthesiology Physician 207L00000XNone listed
Dermatology Physician 207N00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Neurological Surgery Physician 207T00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Ophthalmology Physician 207W00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Blood Banking & Transfusion Medicine Physician 207ZB0001XNone listed
Pediatrics Physician 208000000XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Surgery Physician 208600000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1770587149

Shannon Clinic's National Provider Identifier is 1770587149, issued on Jun 13, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in San Angelo, TX. The record was last updated on Jul 14, 2025.