| John Clint Lasiter, MD | |
|
4450 Sunset Dr, San Angelo, TX 76901-5611 | |
| (325) 658-1511 | |
| (325) 659-0180 |
| Full Name | John Clint Lasiter |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 20 Years |
| Location | 4450 Sunset Dr, San Angelo, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891899076 | NPI | - | NPPES |
| 8CG991 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | N4538 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| The West Texas Rehabilitation Center | 2860301215 | 376 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| John Clint Lasiter, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | John Clint Lasiter, MD 4450 Sunset Dr, San Angelo, TX 76901-5611 Ph: (325) 658-1511 |
Dr. Keith D Walvoord, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-224-5354 | |
Dr. Barcleigh Paige Landau, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4450 Sunset Dr, San Angelo, TX 76901 Phone: 325-747-2283 | |
Leslie K Williamson, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4450 Sunset Drive, San Angelo, TX 76904 Phone: 325-658-1511 | |
David M Huchton, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4450 Sunset Drive, San Angelo, TX 76904 Phone: 325-658-1511 |