Shannon Medical Center

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Brady, TX

NPI 1699016337 · NPPES record last updated Mar 5, 2013

Key facts

NPI
1699016337
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
License
APPLIED FOR (TX)
Legal business name
SHANNON MEDICAL CENTER
Practice address
2008 Nine Rd
Brady, TX 76825-7210
Phone
(325) 597-2901
NPI assigned
Mar 5, 2013
Organization subpart
Yes
Parent organization (as reported)
SHANNON MEDICAL CENTER

Authorized official

Name
Bryan Horner
Title
Ceo
Phone
(325) 657-8266

National Provider Directory

Part of
Karen G Rightmire MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X APPLIED FOR TX Yes

Addresses

Primary practice location

2008 Nine Rd
Brady, TX 76825-7210

Mailing address

120 E Harris Ave
San Angelo, TX 76903-5904

Other names

  • Shannon Dialysis Services - Brady Doing business as

Other providers in Brady, TX

All providers in Brady, TX · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.