Shannon Medical Center
Clinic/Center, Ambulatory Surgical in San Angelo, TX. Organization (NPI-2).
NPI number1104886969
StatusActive
Last updated in NPPESAug 26, 2011
Details
- NPI
- 1104886969
- Entity type
- Organization (NPI-2)
- Legal business name
- Shannon Medical Center
- Organization subpart
- No
- Enumeration date
- Mar 24, 2006
- Last updated
- Aug 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
120 E Harris AveSan Angelo, TX 76903-5904
Phone 325-657-5031
Mailing address
Po Box 1879San Angelo, TX 76902-1879
Phone 325-657-5031
Authorized official
Patricia Kirkham
Billing Supervisor
3256575031
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