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

Mr. Anthony Derencius, PA-C

Individual provider Physician Assistant · NPI 1114244779

Mr. Anthony Derencius, PA-C is a Physician Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8201 Ewing Halsell Dr
San Antonio, TX 78229-3707
Phone: (210) 575-4837
Fax: (210) 575-8480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11167 (TX)

Record details

NPI number1114244779
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2010
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

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