SHANNON CLINIC RP
NPI 1285818849
Radiology - Diagnostic Radiology in San Angelo, TX

Q: What is Shannon Clinic Rp's NPI number?

The NPI number for Shannon Clinic Rp is 1285818849. It was assigned to this organization in the NPPES registry on December 19, 2007.

Q: What is Shannon Clinic Rp's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Clinic Rp was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 19, 2007

120 E BEAUREGARD AVE, SAN ANGELO, TX 76903(325) 658-1511 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2020, Mar 12, 2019 (2 updates tracked since 2019).

On this page

About Shannon Clinic Rp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON CLINIC RP (NPI 1285818849) is a healthcare organization registered as a diagnostic radiology in San Angelo, Texas and active in the NPI registry since December 2007. The organization lists Ricardo Villarreal, Cao, as its authorized official.

NPPES Registry Identity

NPI1285818849

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameSHANNON CLINIC RP

Location Address120 E BEAUREGARD AVESan Angelo, TX 76903-5919

Mailing AddressPo Box 90259San Angelo, TX 76902-8059 · (325) 658-1511 · Fax (325) 659-0180

Phone(325) 658-1511

Organization SubpartNo

Authorized OfficialRicardo VillarrealCao · (325) 481-8248

Enumeration DateDecember 19, 2007

Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration

✔ NPI 1285818849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X

120 E BEAUREGARD AVE, San Angelo, TX 76903

Open in Google Maps ↗

Other Identifiers 1

Other0057QQTX · Bcbs Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAEGIN M CARLILE FNP

Nurse Practitioner