Shannon Clinic
NPI 1790986719ActiveOrganization· Pediatrics· Del Rio, TX
Pediatrics in Del Rio, Texas, registered in NPPES in May 2007. The authorized official on file is Gary Bowen, Chief Operations Officer.
Overview
| NPI | 1790986719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 29, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | TX |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pediatricians in Del Rio
- 1215007224
- 1912046509
- 1700876448
- 1982199436
- 1578753729