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

Mr. Rex A. Incledon, PA-C, CCP

Individual provider Physician Assistant · NPI 1114918414

Mr. Rex A. Incledon, PA-C, CCP is a Physician Assistant in Fort Sam Houston, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
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

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-0819
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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 PA03561 (TX)

Record details

NPI number1114918414
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , CCP
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESApril 13, 2018

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