Shannon Clinic
NPI 1790986719 · Pediatrics Physician · Del Rio, TX
Shannon Clinic is a Pediatrics Physician organization in Del Rio, TX (NPI 1790986719).
Provider details
- NPI number
- 1790986719
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Bowen, Chief Operations Officer(325) 658-1511
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Vista Verde Medical Plaza
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2025-09-11
Frequently asked questions
- What is Shannon Clinic's NPI number?
- Shannon Clinic's National Provider Identifier (NPI) is 1790986719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shannon Clinic?
- Shannon Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Shannon Clinic located?
- Shannon Clinic's practice location on file with NPPES is 1801 N Bedell Ave, Del Rio, TX 78840-8001.
- What is Shannon Clinic's phone number?
- The practice phone number listed in the NPPES registry for Shannon Clinic is (830) 768-9200.
- Who is the authorized official for Shannon Clinic?
- The authorized official listed on Shannon Clinic's NPPES record is Gary Bowen, Chief Operations Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shannon Clinic's NPI active?
- Yes — Shannon Clinic's NPI (1790986719) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.