Mark Wilson Clancy, PA
Mark Wilson Clancy is a Physician Assistant provider (Physician Assistant) practicing in Brenham, TX, registered in the NPPES registry with NPI 1609507334 since 2022. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1609507334 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark Wilson Clancy |
| Credential | PA |
| Sex | Male |
| Practice address | 110 HIGHWAY 290 W, Brenham, TX, 77833 |
| Phone | 9798305584 |
| Fax | 9792777100 |
| Enumeration date | 2022-06-22 |
| Last updated in NPPES | 2024-10-09 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | Secondary | — | — |
| 363A00000X | Physician Assistant | Primary | PA17808 | TX |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Copy-ready billing details
Provider: Mark Clancy, PA NPI: 1609507334 Taxonomy: 363A00000X (Physician Assistant) Address: 110 HIGHWAY 290 W, Brenham, TX, 77833
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073572624 | Kelly Mcdonald | Individual | Family Medicine Physician | Brenham, TX |
Verify this record
Cross-check NPI 1609507334 against the authoritative CMS record: view Mark Wilson Clancy on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1609507334 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-09.