person
Mr. Glen Ross Pettenger, PA-C
Medical Physician Assistant in Centerville, Texas
NPI 1801910609

Glen Ross Pettenger is a Medical Physician Assistant based in Oakwood, TX and is specialized in Medical. Glen Ross Pettenger practices in Centerville, TX and has the professional credentials of PA-C. The NPI Number for Glen Ross Pettenger is 1801910609 and holds a License No. PA00952 (Texas).

The current practice location address for Glen Ross Pettenger is 102 West Main Street, Centerville, TX and can be reached out via phone at 903-536-2313 and via fax at 903-536-2207.

Location: 102 West Main Street, Centerville, TX, 75855-4067
person
Provider Profile Details
NPI Number
1801910609
Provider Name
Glen Ross Pettenger
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
102 West Main Street, Centerville, TX, 75855-4067
Phone Number
903-536-2313
Fax Number
903-536-2207
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 West Main Street
City
State
Zip
75833
Phone Number
903-536-2313
Fax Number
903-536-2207
person
Provider Business Mailing Address Details
Address
102 West Main Street
City
State
Zip
75833
Phone Number
903-536-2313
Fax Number
903-536-2207
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00952 (Texas)
Definition
Definition to come...
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