Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Wilson Clancy, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609507334

Mark Wilson Clancy, PA is a Physician Assistant in Brenham, Texas. Qualified in 2023, 3 years ago. Practices with St Joseph Regional Health Center, a 140-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

110 Highway 290 W
Brenham, TX 77833-9165
Phone: (979) 830-5584
Fax: (979) 277-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA17808 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609507334
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address110 Highway 290 W, Brenham, TX 77833-9165

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Joseph Regional Health Center — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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