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SENIOR CLINIC
NPI 1821289539
Family Medicine in San Angelo, TX

Active since August 07, 2007
3016 VISTA DEL ARROYO DR, SAN ANGELO, TX 76904(325) 949-9408 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Senior Clinic NPPES

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

SENIOR CLINIC (NPI 1821289539) is a healthcare organization registered as a family medicine in San Angelo, Texas and active in the NPI registry since August 2007. The organization lists Bob Kavisic, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821289539
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHANNON RURAL HEALTH CLINICS, INC
Location Address3016 VISTA DEL ARROYO DRSan Angelo, TX 76904-6146
Mailing AddressPo Box 1879San Angelo, TX 76902-1879 · (325) 949-9408
Phone(325) 949-9408
Organization SubpartNo
Authorized OfficialBob KavisicOffice Manager · (325) 949-9408
Enumeration DateAugust 7, 2007
✔ NPI 1821289539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · G5439
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License H4593 (TX)
3016 VISTA DEL ARROYO DR, San Angelo, TX 76904
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Other Names 1

Doing Business AsSenior Clinic

Other Identifiers 1

Medicare PIN00027TTX

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 4

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

SHANNON SENIOR HEALTH CLINIC
Family Medicine (Adult Medicine)
3016 VISTA DEL ARROYO DR
SAN ANGELO, TX 76904
Tom Green County (325) 949-9408
DR. BRENDA D OWENS MD
Family Medicine
3016 VISTA DEL ARROYO DR
SAN ANGELO, TX 76904
Tom Green County (325) 658-1511
BRANDI L DEPALMA CNS
Clinical Nurse Specialist (Adult Health)
3016 VISTA DEL ARROYO DR
SAN ANGELO, TX 76904
Tom Green County (325) 949-9408
KRISTY D EDWARDS MD
Family Medicine
3016 VISTA DEL ARROYO DR
SAN ANGELO, TX 76904
Tom Green County (325) 658-1511

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 Rural Health Clinics, Inc's NPI number?

The NPI number for Shannon Rural Health Clinics, Inc is 1821289539. It was assigned to this organization in the NPPES registry on August 7, 2007. The provider is doing business as Senior Clinic.

Where is Shannon Rural Health Clinics, Inc located?

Shannon Rural Health Clinics, Inc is located at 3016 Vista Del Arroyo Dr, San Angelo, TX 76904. The listed phone number is (325) 949-9408.

What is Shannon Rural Health Clinics, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shannon Rural Health Clinics, Inc was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.