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SHANNON CLINIC
NPI 1356752307
Prosthetic/Orthotic Supplier in San Angelo, TX

Active since May 13, 2014
110 E TWOHIG AVE, SAN ANGELO, TX 76903(325) 658-1511(325) 481-2166 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, Mar 12, 2019 (2 updates tracked since 2019).

About Shannon Clinic NPPES

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

SHANNON CLINIC (NPI 1356752307) is a healthcare organization registered as a prosthetic/orthotic supplier in San Angelo, Texas and active in the NPI registry since May 2014. The organization lists Ricardo Villarreal, Cao, as its authorized official.

NPPES Registry Identity

NPI1356752307
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSHANNON CLINIC
Location Address110 E TWOHIG AVESan Angelo, TX 76903-5916
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2166
Phone(325) 658-1511
Fax(325) 481-2166
Organization SubpartNo
Authorized OfficialRicardo VillarrealCao · (325) 481-8248
Enumeration DateMay 13, 2014
Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration
✔ NPI 1356752307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in TX · 1210
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
110 E TWOHIG AVE, San Angelo, TX 76903
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Other Identifiers 1

OtherCPED4075TX · Certification

Other Providers at the Same Location NPPES 3

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

KYLAN WILSON CERTIFIED PEDORTHIST
Orthotist
110 E TWOHIG AVE
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
SHANNON CLINIC
Prosthetic/Orthotic Supplier
110 E TWOHIG AVE
SAN ANGELO, TX 76903
Tom Green County (325) 653-9235
MRS. JANICE M MORRIS CO
Orthotist
110 E TWOHIG AVE
SAN ANGELO, TX 76903
Tom Green County (325) 653-9235

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 1356752307. It was assigned to this organization in the NPPES registry on May 13, 2014.

Where is Shannon Clinic located?

Shannon Clinic is located at 110 E Twohig Ave, San Angelo, TX 76903. The listed phone number is (325) 658-1511.

What is Shannon Clinic's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

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.