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SHANNON CLINIC ORTHOTICS
NPI 1285946913
Durable Medical Equipment & Medical Supplies - Customized Equipment in San Angelo, TX

Active since July 10, 2010
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903(325) 653-9235(325) 653-9284 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2020, Oct 24, 2018 (2 updates tracked since 2018).

About Shannon Clinic Orthotics NPPES

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

SHANNON CLINIC ORTHOTICS (NPI 1285946913) is a healthcare organization registered as a customized equipment in San Angelo, Texas and active in the NPI registry since July 2010. The organization lists Ricardo Villarreal, Cao, as its authorized official.

NPPES Registry Identity

NPI1285946913
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameSHANNON CLINIC
Location Address120 E BEAUREGARD AVESan Angelo, TX 76903-5919
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2165
Phone(325) 653-9235
Fax(325) 653-9284
Organization SubpartNo
Authorized OfficialRicardo VillarrealCao · (325) 481-8248
Enumeration DateJuly 10, 2010
Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration
✔ NPI 1285946913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in TX · 1210
120 E BEAUREGARD AVE, San Angelo, TX 76903
Open in Google Maps ↗

Other Names 1

Doing Business AsShannon Clinic Orthotics

Other Identifiers 1

Medicaid1033840001TX

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
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
IRVIN E. ZEITLER JR. DO
Family Medicine
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
DR. CHARLES E. GREESON M.D.
Dermatology
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
CHARLES M JONES MD
Internal Medicine
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 481-2198
SCOTT WESTMORELAND DPM
Podiatrist
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
LINA M QUAN-ASTON PA
Physician Assistant
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
BRANDI L WHITEHEAD P.A.
Physician Assistant
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
AEMI TIEMO MD
Student in an Organized Health Care Education/Training Program
120 E BEAUREGARD AVE
SAN ANGELO, TX 76903
Tom Green County (325) 747-4820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Clinic's NPI number?

The NPI number for Shannon Clinic is 1285946913. It was assigned to this organization in the NPPES registry on July 10, 2010. The provider is doing business as Shannon Clinic Orthotics.

Where is Shannon Clinic located?

Shannon Clinic is located at 120 E Beauregard Ave, San Angelo, TX 76903. The listed phone number is (325) 653-9235.

What is Shannon Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Shannon Clinic 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.