Shannon Senior Health Clinic in San Angelo - Adult Medicine
Shannon Senior Health Clinic - NPI 1194935569
Shannon Senior Health Clinic is a Adult Medicine in San Angelo, Texas. Shannon Senior Health Clinic practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Shannon Senior Health Clinic is 1194935569. The last update date is 2020-08-22.
Shannon Senior Health Clinic's current location address is 3016 Vista Del Arroyo Dr, San Angelo, Texas. You can contact this provider via phone number 3259499408. The mailing address for Shannon Senior Health Clinic is 3016 Vista Del Arroyo Dr, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shannon Senior Health Clinic |
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Address | 3016 Vista Del Arroyo Dr, San Angelo, Texas |
Phone Number | 3259499408 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN |
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Authorized Official Name | Zietler Irvin |
Credentials | M.D. |
Telephone Number | 3259499408 |
NPI Number Detail
NPI Number | 1194935569 |
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Provider Enumeration Date | 2007-05-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3016 Vista Del Arroyo Dr |
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City | San Angelo |
State | Texas (TX) |
Post Code | 769046146 |
Phone Number | 3259499408 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Adult Medicine |
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Taxonomy | 207Qa0505X |
Licence No | F4722 |
Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique identifier code issued to Shannon Senior Health Clinic by the Centers for Medicare & Medicaid Services?
The Shannon Senior Health Clinic has been assigned the NPI (National Provider Identifier) 1194935569. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shannon Senior Health Clinic's facilities are geographically located?
The facilities of Shannon Senior Health Clinic are physically situated at the following location: 3016 Vista Del Arroyo Dr, San Angelo, TX, 769046146.
What is the Shannon Senior Health Clinic's specialty and taxonomy code?
The Shannon Senior Health Clinic's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did Shannon Senior Health Clinic receive its 1194935569 assignment from the Centers for Medicare & Medicaid Services?
The Shannon Senior Health Clinic was assigned its 1194935569 on 2007-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Shannon Senior Health Clinic most recently updated or revised?
The information pertaining to Shannon Senior Health Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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