Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shannon Rural Health Clinics, Inc

Organization Family Medicine Physician · NPI 1821289539

Shannon Rural Health Clinics, Inc provides Family Medicine Physician services in San Angelo, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3016 Vista Del Arroyo Dr
San Angelo, TX 76904-6146 Not confirmed with CMS for 19 years — call before visiting
Phone: (325) 949-9408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G5439 (TX)
Adult Medicine Physician Taxonomy 207QA0505X · Licence H4593 (TX)

Record details

NPI number1821289539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bob Kavisic — Office Manager · (325) 949-9408
Other names Senior Clinic
NPI enumeratedAugust 7, 2007
Last updated in NPPESAugust 7, 2007
Mailing addressPo Box 1879, San Angelo, TX 76902-1879

Other providers in San Angelo