| Shannon Clinic | |
|
1801 N Bedell Ave Del Rio TX 78840-8001 | |
| (830) 768-9200 | |
| Not Available |
| Full Name | Shannon Clinic |
|---|---|
| Speciality | Pediatrics |
| Location | 1801 N Bedell Ave, Del Rio, Texas |
| Authorized Official Name and Position | Gary Bowen (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 3256581511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Clinic Po Box 90201 San Angelo TX 76902-8001 Ph: (325) 658-1511 | Shannon Clinic 1801 N Bedell Ave Del Rio TX 78840-8001 Ph: (830) 768-9200 |
| NPI Number | 1790986719 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790986719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (Texas) | Primary |
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