Individual
CLAY F ISTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16755 HUEBNER RD, SAN ANTONIO, TX 78248-2342
(210) 493-4357
(210) 493-4355
Mailing address
2550 N THUNDERBIRD CIR, SUITE 303, MESA, AZ 85215-1214
(480) 455-4932
(480) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343919201
—
TX
05
—
343919202
—
TX
05
—
343919203
—
TX
Enumeration date
04/21/2010
Last updated
06/26/2015
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