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SHANNON CLINIC
NPI 1790986719
Pediatrics in Del Rio, TX

Active since May 29, 2007
1801 N BEDELL AVE, DEL RIO, TX 78840(830) 768-9200 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Shannon Clinic NPPES

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

SHANNON CLINIC (NPI 1790986719), doing business as Vista Verde Medical Plaza, is a healthcare organization registered as a pediatrics in Del Rio, Texas and active in the NPI registry since May 2007. The organization lists Gary Bowen, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1790986719
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHANNON CLINIC
Location Address1801 N BEDELL AVEDel Rio, TX 78840-8001
Mailing AddressPo Box 90201San Angelo, TX 76902-8001 · (325) 658-1511
Phone(830) 768-9200
Organization SubpartNo
Authorized OfficialGary BowenChief Operations Officer · (325) 658-1511
Enumeration DateMay 29, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1790986719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X

Other Names 1

Doing Business AsVista Verde Medical Plaza

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 15

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

ABIGAIL CHRISTINE LIRA AGPCNP
Nurse Practitioner (Primary Care)
1801 N BEDELL AVE
DEL RIO, TX 78840
Val Verde County (830) 768-9200
LETICIA ORTIZ NURSE PRACTITIONER
Nurse Practitioner
1801 N BEDELL AVE
DEL RIO, TX 78840
Val Verde County (830) 768-9200
JUAN FRANCISCO AGUILAR GAMEZ FNP-BC
Nurse Practitioner (Family)
1801 N BEDELL AVE
DEL RIO, TX 78840
Val Verde County (830) 768-9200
MRS. SASHA NICOLE VALDEZ NP-C
Nurse Practitioner (Family)
1801 N BEDELL AVE
DEL RIO, TX 78840
Val Verde County (830) 778-5439
MARYSOL Y MUSQUIZ LCSW
Social Worker (Clinical)
1801 N BEDELL AVE
DEL RIO, TX 78840
Val Verde County (830) 768-9200
VIVIAN VIERA M.D.
Family Medicine
1801 N BEDELL AVE
DEL RIO, TX 78840
Val Verde County (830) 768-9200
JORGE EDUARDO OLAYA M.D.
Pediatrics
1801 N BEDELL AVE
DEL RIO, TX 78840
Val Verde County (830) 765-9200
KYLIE DICKSON PA
Physician Assistant
1801 N BEDELL AVE
DEL RIO, TX 78840
Val Verde County (830) 768-9200

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 1790986719. It was assigned to this organization in the NPPES registry on May 29, 2007. The provider is doing business as Vista Verde Medical Plaza.

Where is Shannon Clinic located?

Shannon Clinic is located at 1801 N Bedell Ave, Del Rio, TX 78840. The listed phone number is (830) 768-9200.

What is Shannon Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Shannon Clinic accept?

Health plans from Blue Cross and Blue Shield of Texas list Shannon Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Clinic was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.