NPI age
12 years
Enumerated 2014-05-13
● Active Type 2 · Organization
Shannon Clinic
Shannon Clinic is 1 of 741 prosthetic/orthotic supplier organizations in Texas.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Villarreal
Cao
Last NPPES update
2020-01-21
Source: monthly bulk 2026-05
How this organization compares
Across 741 active prosthetic/orthotic supplier providers in Texas.
NPI age
12 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-05Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
110 E Twohig Ave
San Angelo, TX 769035916
Mailing address
Po Box 22000
San Angelo, TX 769027200
Authorized official
Ricardo Villarreal
Cao
📞 3254818248
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Janice Morris, CO Orthotist NPI 1477620185
- Kylan Wilson, CERTIFIED PEDORTHIST Orthotist NPI 1174934186
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | CPED4075 | CERTIFICATION |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- 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.