MR. Glen Ross Pettenger PA-C

  • NPI 1801910609
According to our database, the NPI number for MR. Glen Ross Pettenger PA-C is 1801910609 and activated since 17 years ago. MR. Glen Ross Pettenger PA-C is an individual provider who specializes in Medical, and the primary practice location is 102 West Main Street, Centerville, TX 75833. You can also contact MR. Glen Ross Pettenger PA-C via telephone number is (903) 536-2313. Provider NPI information was last updated on 07/08/2007.

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Overview of MR. Glen Ross Pettenger PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/19/2007
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: PA00952
  • License State: TX

Provider Mailing Address

  • Address: 8148 Fm 1511
    Oakwood, TX 75855
  • Phone: 903-536-2810
  • Fax:

Provider Practice Location

  • Address: 102 West Main Street
    Centerville, TX 75833
  • Phone: 903-536-2313
  • Fax: 903-536-2207

Scope of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: PA00952
  • License State: TX
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Glen Ross Pettenger PA-C?
  • A: The npi number for MR. Glen Ross Pettenger PA-C is 1801910609.
  • Q: What are MR. Glen Ross Pettenger PA-C's specialties?
  • A: MR. Glen Ross Pettenger PA-C's specialties are Medical and different specialities.
  • Q: What is the medical license for MR. Glen Ross Pettenger PA-C?
  • A: The medical license number for MR. Glen Ross Pettenger PA-C is PA00952 and issued in TX in USA.
  • Q: Where is MR. Glen Ross Pettenger PA-C practice location?
  • A: MR. Glen Ross Pettenger PA-C is practicing at 102 West Main Street, Centerville, TX 75833.
  • Q: How to contact MR. Glen Ross Pettenger PA-C?
  • A: You can contact MR. Glen Ross Pettenger PA-C via 903-536-2313.
Medicare Specialty
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