Individual
MRS. ELIZABETH A. CLANCY-HRNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
117 DILWORTH PLAZA, POTH, TX 78147
(830) 393-1770
(830) 393-1775
Mailing address
7500 BARLITE BLVD, STE 201, SAN ANTONIO, TX 78224-1361
(210) 921-3939
(210) 921-3941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11673580
CAQH
TX
01
—
PA01738
LICENSE
TX
Enumeration date
08/17/2009
Last updated
08/16/2017
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