Mr. Glen Ross Pettenger, PA-C
Mr. Glen Ross Pettenger, PA-C is a Medical Physician Assistant in Centerville, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
102 W Main StCenterville, TX 75833
Phone: (903) 536-2313
Fax: (903) 536-2207
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA00952 (TX) |
|---|
Record details
| NPI number | 1801910609 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 19, 2007 |
| Last updated in NPPES | July 8, 2007 |