Shannon Clinic
Customized Equipment
120 E Beauregard Ave, San Angelo
Texas, 76903-5919
325-653-9235 325-653-9284
Shannon Clinic is a Customized Equipment in San Angelo, Texas. It is located at 120 E Beauregard Ave, San Angelo and it's customer support contact number is 325-653-9235. The authorized person of Shannon Clinic is Ricardo Villarreal who is Cao of this DME and his contact number is 325-481-8248. Active license number of Shannon Clinic is 1210 for Customized Equipment in Texas.
Shannon Clinic is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Shannon Clinic type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Shannon Clinic |
| Type: | Customized Equipment |
| Location: | 120 E Beauregard Ave, San Angelo,
Texas, 76903-5919 |
| Phone: | 325-653-9235 |
| Fax: | 325-653-9284 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Ricardo Villarreal |
| Position: | Cao |
| Contact Number: | 325-481-8248 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1285946913 |
| NPI Enumeration Date: | 10 Jul, 2010 |
| NPI Last Update On: | 21 Jan, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 1210 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1033840001 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 22000,
San Angelo, Texas |
| Zip: | 76902-7200 |
| Phone Number: | 325-658-1511 |
| Fax Number: | 325-481-2165 |
Patients can reach Shannon Clinic at
120 E Beauregard Ave, San Angelo, Texas or can
call on customer care at 325-653-9235.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.