Mark Wilson Clancy, PA

Physician Assistant · Brenham, TX

Individual Active NPI

NPI number 1609507334

Practice location

110 Highway 290 W
Brenham, TX 77833-9165
Phone
(979) 830-5584
Fax
(979) 277-7100

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NPI record

NPI
1609507334
Entity type
Individual (Type 1)
Enumeration date
June 22, 2022
Last updated
October 9, 2024
Certified
October 9, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA17808 TX
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (1)

  • 1201 W University Dr, Edinburg, TX 78539-2909 · (956) 665-7049

About Mark Clancy

Mark Wilson Clancy, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 110 Highway 290 W, Brenham, TX 77833-9165. The NPI number 1609507334 was assigned on June 22, 2022 and the record was last updated on October 9, 2024.

Mark Clancy lists a license in the registry: #PA17808 (TX) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Wilson Clancy, PA?

The NPI number is 1609507334.

What is the phone number of Mark Clancy?

The phone number listed for the practice location is (979) 830-5584.

Where is Mark Clancy located?

110 Highway 290 W, Brenham, TX 77833-9165.

What is the taxonomy code for Mark Clancy?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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