Clancy, Mark Wilson

Clancy, Mark Wilson is an individual health care provider with primary practice located at 110 Highway 290 W , Brenham TX 77833-9165. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Clancy, Mark Wilson can be contacted via phone (979) 830-5584.

Contact Information

Primary practice address
110 Highway 290 W Brenham TX 77833-9165
Phone: (979) 830-5584
Fax: (979) 277-7100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17808 Texas

Profile Details

NPI number 1609507334
LBN Legal business name Clancy, Mark Wilson
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2022
Last updated Apr 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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