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Glen Pettenger, PA-C
NPI 1801910609 · on the registry since 2007
Practice
- Address
- 102 West Main Street
Centerville, TX 75833 - Phone
- (903) 536-2313
- Fax
- (903) 536-2207
- Organisation at this address
- St. Joseph Regional Health Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas