Individual
MR. ANTHONY DERENCIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229-3707
(210) 575-4837
(210) 575-8480
Mailing address
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229-3707
(210) 575-4837
(210) 575-8480
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11167
TX
Other
Enumeration date
04/22/2010
Last updated
10/13/2022
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