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Shannon Rural Health Clinics, Inc

Family Medicine Physician in San Angelo, TX · enumerated 2007 · authorized official Bob Kavisic, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821289539

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Registry record

Entity type Organization (Type 2)
Legal business name Shannon Rural Health Clinics, Inc
Other name <Unavail>
Practice address 3016 Vista Del Arroyo Dr, San Angelo, TX, 76904
Phone (325) 949-9408
Enumeration date Aug 7, 2007
Last updated in NPPES Aug 7, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License G5439 (TX) Primary
207QA0505X Adult Medicine Physician Allopathic & Osteopathic Physicians · License H4593 (TX) Secondary

Authorized official

Name Bob Kavisic
Title Office Manager
Phone (325) 949-9408

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-08-07. Verify at npiregistry.cms.hhs.gov.
Where is Shannon Rural Health Clinics, Inc located?
The practice location on file with NPPES is in San Angelo, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-07.