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1114244779
ANTHONY DERENCIUS
SAN ANTONIO, TX
NPI
1114244779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11167)
Enumeration Date
2010-04-22
Last Update Date
2022-10-13
Business Address
Mr. ANTHONY DERENCIUS PA-C
8201 EWING HALSELL DR
SAN ANTONIO, TX 78229-3707
Phone number: 210-575-4837
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Mailing Address
Mr. ANTHONY DERENCIUS PA-C
8201 EWING HALSELL DR
SAN ANTONIO, TX 78229-3707
Phone number: 210-575-4837
Copy
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