NPI age
— years
Enumerated 2026-03-05
● Active Type 2 · Organization
Subpart
Shannon Clinic
Shannon Clinic is 1 of 689 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Villarreal
Cao
Last NPPES update
2026-03-06
Source: monthly bulk 2026-05
How this organization compares
Across 689 active clinic/center providers in Texas.
NPI age
0 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2026 → 2026
2026-03Enumerated in NPPES
2026
2026
Where they practice
Primary practice location
2503 S Gregg St Ste C
Big Spring, TX 797206583
Mailing address
Po Box 22000
San Angelo, TX 769027200
Authorized official
Ricardo Villarreal
Cao
📞 3254812200
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Marcie Lusk, DNP, APRN, FNP-C Nurse Practitioner NPI 1699009001
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Shannon Clinic.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.